Italian Home for Children

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1475185 Issued in MA

Legal business name

ITALIAN HOME FOR CHILDREN

Practice address

1125 Centre St
Boston, MA 02130-3445

Phone

(617) 524-3116

NPI assigned

Aug 19, 2015

Organization subpart

Yes

Parent organization

ITALIAN HOME FOR CHILDRENAs reported in NPPES

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

Authorized official

Name

Christine Leary

Title

Sr Staff Accountant

Phone

(617) 524-3116

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Italian Home for Children

Locations

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1841666336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 PLAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023024547",
            "telephone_number": "617-524-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CENTRE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303445",
            "telephone_number": "617-524-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITALIAN HOME FOR CHILDREN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ITALIAN HOME FOR CHILDREN",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "SR STAFF ACCOUNTANT",
        "authorized_official_telephone_number": "617-524-3116"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "1475185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922043876",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063549962",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zain Alqaws Kamal Issa, DDS
• Eric Michael Isselbacher, MD
• Nawfal W. Istfan, M.D.
• Olav Istre, M.D., PH.D
• Haley Italia, OD
• Mona Itani
• Gilad Itchaki, MD
• Padmaja R Itikala, M.D.
• Kaori Ito, M.D.
• Akinobu Itoh, MD

• Community/Behavioral Health Agency in Boston, MA
• Providers in Boston, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.