NPIMap

Organization Active NPI

Brookline Community Mental Health Center Inc.

Doing business as The Brookline Center

  • Community/Behavioral Health Agency
  • Brookline, MA
National Provider Identifier
1881610244
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BROOKLINE COMMUNITY MENTAL HEALTH CENTER INC.
Doing business as
The Brookline Center
The Brookline Community Mental Health Center
Practice address
43 Garrison Rd
Brookline, MA 02445-4445
Phone
(617) 277-8107
NPI assigned
Jul 15, 2006
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Bianca Wood
Title
Administrative Manager
Phone
(857) 707-3519

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Psychologist 103T00000X NU
Social Worker 104100000X NU
Psychiatry Physician 2084P0800X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

43 Garrison Rd
Brookline, MA 02445-4445

Mailing address

41 Garrison Rd
Brookline, MA 02445-4445
Phone (617) 277-8107

Other names 2

  • The Brookline Center Doing business as
  • The Brookline Community Mental Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806000864 MA Part B Supplier - Clinic/Group Practice 9032181433 Receives reassigned benefits from 62 practitioners
Practice locations: Brookline, MA

National Provider Directory

National Provider Directory
Tax ID family
Brookline Center for Community Mental Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

41 Garrison Rd
Brookline, MA 02445
Phone (617) 277-8107

43 Garrison Rd
Brookline, MA 02445
Phone (617) 277-8107

Practitioners & affiliated clinicians

Practitioners 69

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.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1881610244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 GARRISON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454445",
            "telephone_number": "617-277-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 GARRISON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454445",
            "telephone_number": "617-277-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE COMMUNITY MENTAL HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "857-707-3519"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brookline Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Brookline Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Brookline Community Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.