Organization Active NPI

Family and Community Solutions Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brighton, MA
National Provider Identifier
1922043876
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
4636 Issued in MA
Legal business name
FAMILY AND COMMUNITY SOLUTIONS INC
Practice address
77B Warren St
Brighton, MA 02135
Phone
(617) 787-1901
Fax
(617) 254-3461
NPI assigned
Jun 17, 2006
Organization subpart
Yes
Parent organization
ITALIAN HOME FOR CHILDREN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Marie Glorieux
Title
VP of Finance
Phone
(617) 524-3116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 4636 MA Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

77B Warren St
Brighton, MA 02135

Mailing address

1125 Centre St
Jamaica Plain, MA 02130-3445
Phone (617) 524-3116

Other practice location 1

1125 Centre St
Jamaica Plain, MA 02130-3445
Phone (617) 524-3116

Other identifiers 3

IdentifierTypeStateIssuer
M18729OtherMABLUE CROSS BLUE SHIELD MA
1301551MedicaidMA
701088OtherMATUFTS ASSOCIATED HEALTH P

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330000671 MA Part B Supplier - Clinic/Group Practice 6901898220 Receives reassigned benefits from 11 practitioners
Practice locations: Brighton, MA

National Provider Directory

National Provider Directory
Part of
Italian Home for Children

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

77 Warren St
#B
Brighton, MA 02135
Phone (617) 787-1901

77 Warren St
Brighton, MA 02135
Phone (617) 254-1271

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922043876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303445",
            "telephone_number": "617-524-3116",
            "fax_number": "857-547-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77B WARREN ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-787-1901",
            "fax_number": "617-254-3461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Centre St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021303445",
            "country_code": "US",
            "telephone_number": "617-524-3116",
            "fax_number": "857-547-1138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY AND COMMUNITY SOLUTIONS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ITALIAN HOME FOR CHILDREN INC",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GLORIEUX",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "617-524-3116",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "4636",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "M18729",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301551",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS ASSOCIATED HEALTH P",
            "identifier": "701088",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.