Massachusetts Mental Health Center

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

216179 Issued in MA

Legal business name

MASSACHUSETTS MENTAL HEALTH CENTER

Practice address

180 Morton St
Jamaica Plain, MA 02130-3735

Phone

(617) 626-9587

Fax

(617) 626-9578

NPI assigned

Jan 16, 2007

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Juan Raul Condemarin, MDNPI 1083894059

Title

Psychiatrist

Phone

(617) 626-9587

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan R Condemarin, MD

  • Addiction Psychiatry Physician
  • Brighton, MA
  • NPI 1083894059
  Authorized official Same address or phone

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1790836799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MORTON ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "617-626-9587",
            "fax_number": "617-626-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MORTON ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "617-626-9587",
            "fax_number": "617-626-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "CONDEMARIN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "617-626-9587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MA",
            "license": "216179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Johanna Martinez-Salazar, MSW, LCSW
• Tatiana Martinez, LICSW
• Alana Rae Martinusen, MPH
• Lisa Masciulli, LCSW
• Maria D Mason
• Massachusetts Society for the Prevention of Cruelty to Children
• Amy Lyn Mastrangelo, MSOTR/L
• Match Community Day Charter Public School
• Maurya Materazzo, MA
• Kathryn Matherly, OD

• Psychiatric Hospital in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Psychiatric Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.