Commonwealth of Mass. - Erich Lindemann Mental Health Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

COMMONWEALTH OF MASS. - ERICH LINDEMANN MENTAL HEALTH CENTER

Practice address

25 Staniford St
Plaza Level
Boston, MA 02114-2503

Phone

(617) 626-8558

Fax

(617) 626-8669

NPI assigned

Jan 22, 2007

Last updated

Oct 25, 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

Ms. Michelle Arseneau

Title

Credentialing Officer

Phone

(617) 626-8558

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Metro Boston Mental Health Units at Lindemann Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922151802. Details of each certification follow.

• CCN 224037 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 224037

Legal name

ERICH LINDEMANN MENTAL HEALTH CENTER

Certification status

Terminated Voluntary: merger or closure, Dec 15, 2008

Provider type (POS)

Hospital – Psychiatric

Participating since

Mar 24, 1997

Last certification

Dec 12, 2007

Beds

60

Ownership / control type

State

Facility address

25 Staniford Street
Boston, MA 02114

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1922151802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STANIFORD ST",
            "address_2": "PLAZA LEVEL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142503",
            "telephone_number": "617-626-8558",
            "fax_number": "617-626-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 STANIFORD ST",
            "address_2": "PLAZA LEVEL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142503",
            "telephone_number": "617-626-8558",
            "fax_number": "617-626-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF MASS. - ERICH LINDEMANN MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "ARSENEAU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING OFFICER",
        "authorized_official_telephone_number": "617-626-8558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103199",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Boston Mental Health Units at Lindemann",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Commonwealth Care Alliance, Inc.
• Commonwealth Clinical Alliance, Inc
• Commonwealth Collaborative Care, PLLC
• Commonwealth Community Care
• Commonwealth Dental Group PLLC
• Commonwealth of Massachusetts (Department of Mental Health - Fuller Mental Health Center)
• Commonwealth of Massachusetts (Dept of Children and Families - Central)
• Commonwealth of Massachusetts (Department of Mental Health - Lindemann Mental Health Center)
• Commonwealth of Massachusetts (Department of Mental Health - Mass Mental Health Center)
• Commonwealth of Massachusetts (Department of Mental Health - Metro Boston Area Office)

• Psychiatric Hospital Unit in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatric Hospital Unit in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.