NPIMap

Organization Active NPI

Eliot Community Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, MA
National Provider Identifier
1932271632
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
4321 Issued in MA
Legal business name
ELIOT COMMUNITY HUMAN SERVICES
Practice address
125 Hartwell Ave
Lexington, MA 02421
Phone
(781) 861-0890
Fax
(781) 861-0899
NPI assigned
Nov 15, 2006
Last updated
Jul 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Kate Markarian
Title
Ceo
Phone
(781) 861-0890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 4321 MA Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0730 MA

Addresses

Primary practice location

125 Hartwell Ave
Lexington, MA 02421

Mailing address

125 Hartwell Ave
Lexington, MA 02421-3100
Phone (781) 861-0890

Other names 1

  • Tri-City Mental Health and Retardation Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040909001199 MA Part B Supplier - Clinic/Group Practice 2062488000 Receives reassigned benefits from 167 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Concord, MA; Danvers, MA; Everett, MA; Haverhill, MA; Lowell, MA; Lynn, MA; Malden, MA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Eliot Community MNTL HLTH20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

86 Baker Avenue Ext
Ste 100
Concord, MA 01742
Phone (978) 202-4156

35 John St
Lowell, MA 01852
Phone (781) 388-6400

52 Sharon St
Malden, MA 02148
Phone (781) 338-8800

Practitioners & affiliated clinicians

Practitioners 184

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 184

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1932271632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HARTWELL AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024213100",
            "telephone_number": "781-861-0890",
            "fax_number": "781-861-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HARTWELL AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02421",
            "telephone_number": "781-861-0890",
            "fax_number": "781-861-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOT COMMUNITY HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "MARKARIAN",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-861-0890"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "4321",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "0730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-City Mental Health and Retardation Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Tri-City Mental Health and Retardation Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.