Organization Active NPI

Eliot Community Human Services

  • Adolescent and Children Mental Health Clinic/Center
  • Billerica, MA
National Provider Identifier
1831492867
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ELIOT COMMUNITY HUMAN SERVICES
Practice address
15 Islington St
Billerica, MA 01821-5067
Phone
(978) 257-4991
NPI assigned
Dec 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Mrs. Darlene Callahan
Title
Therapeutic Mentor
Phone
(978) 257-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

15 Islington St
Billerica, MA 01821-5067

Mailing address

15 Islington St
Billerica, MA 01821-5067
Phone (978) 257-4991

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1831492867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ISLINGTON ST",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215067",
            "telephone_number": "978-257-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ISLINGTON ST",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215067",
            "telephone_number": "978-257-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOT COMMUNITY HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "THERAPEUTIC MENTOR",
        "authorized_official_telephone_number": "978-257-4991",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.