NPIMap

Organization Active NPI

Habit Management Incorporated

  • Methadone Clinic
  • Boston, MA
National Provider Identifier
1790735470
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
261QM2800X Issued in MA
Legal business name
HABIT MANAGEMENT INCORPORATED
Practice address
205 Portland St
Boston, MA 02114-1721
Phone
(617) 523-2214
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Magaraci
Title
President/Ceo
Phone
(617) 523-2214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 261QM2800X MA Primary

Addresses

Primary practice location

205 Portland St
Boston, MA 02114-1721

Mailing address

205 Portland St
Boston, MA 02114-1721
Phone (617) 523-2214

Other identifiers 1

IdentifierTypeStateIssuer
1306375MedicaidMA

Other names 1

  • Habit Management Doing business as

National Provider Directory

National Provider Directory

Locations

205 Portland St
Boston, MA 02114
Phone (617) 523-2214

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790735470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PORTLAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141721",
            "telephone_number": "617-523-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PORTLAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141721",
            "telephone_number": "617-523-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABIT MANAGEMENT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAGARACI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "617-523-2214",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MA",
            "license": "261QM2800X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306375",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Habit Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.