NPIMap

Organization Active NPI

Eastern Middlesex Alcoholism Services, Inc

  • Substance Abuse Rehabilitation Facility
  • Malden, MA
National Provider Identifier
1770866089
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0225 Issued in MA
Legal business name
EASTERN MIDDLESEX ALCOHOLISM SERVICES, INC
Practice address
12 Cedar St
Malden, MA 02148-3883
Phone
(781) 321-2600
Fax
(781) 321-2600
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Timothy Francis McCarthy, LMHC, LADC-1
Title
Executive Director
Phone
(781) 321-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0225 MA Primary

Addresses

Primary practice location

12 Cedar St
Malden, MA 02148-3883

Mailing address

12 Cedar St
Malden, MA 02148-3883
Phone (781) 321-2600

National Provider Directory

National Provider Directory

Locations

12 Cedar St
Malden, MA 02148
Phone (781) 321-2600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1770866089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CEDAR ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483883",
            "telephone_number": "781-321-2600",
            "fax_number": "781-321-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CEDAR ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483883",
            "telephone_number": "781-321-2600",
            "fax_number": "781-321-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MIDDLESEX ALCOHOLISM SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-321-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC, LADC-1"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MA",
            "license": "0225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.