Organization Active NPI

Community Charter School of Cambridge

  • Local Education Agency (LEA)
  • Cambridge, MA
National Provider Identifier
1932675428
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
COMMUNITY CHARTER SCHOOL OF CAMBRIDGE
Practice address
245 Bent St
Cambridge, MA 02141-2001
Phone
(617) 354-0047
Fax
(855) 315-6916
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Miss Mary Ellen Costello
Title
Special Education Compliance Coordi
Phone
(617) 354-0047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

245 Bent St
Cambridge, MA 02141-2001

Mailing address

245 Bent St
Cambridge, MA 02141-2001
Phone (617) 354-0047

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2283611Community Charter School of Cambridge245 Bent St, Cambridge, MA 02141Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory

Locations

245 Bent St
Cambridge, MA 02141
Phone (617) 354-0047

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1932675428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BENT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021412001",
            "telephone_number": "617-354-0047",
            "fax_number": "855-315-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BENT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021412001",
            "telephone_number": "617-354-0047",
            "fax_number": "855-315-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHARTER SCHOOL OF CAMBRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "SPECIAL EDUCATION COMPLIANCE COORDI",
        "authorized_official_telephone_number": "617-354-0047",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.