Active NPI
Commonwealth of Massachusetts
- Case Management Agency
- Lawrence, MA
National Provider Identifier
1942339825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COMMONWEALTH OF MASSACHUSETTS
- Practice address
- 280 Merrimack Street
3Rd Floor
Lawrence, MA 01843 - Phone
- (978) 521-9432
- NPI assigned
- Mar 5, 2007
- Organization subpart
- Yes
- Parent organization
- COMMONWEALTH OF MASSACHUSETTS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dylan Lattimore
- Title
- Deputy Commissioner for Administrat
- Phone
- (857) 408-0675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
280 Merrimack Street
3Rd Floor
Lawrence, MA 01843
Mailing address
40 Broad Street
4TH Floor
Boston, MA 02109
Phone (617) 727-5608
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110000085L | Medicaid | MA | |
| 1813366 | Medicaid | MA |
Other names 2
- DDS MERRIMACK VALLEY AREA OFFICE
- Department of Developmental Services - Merrimack Valley Area Office
National Provider Directory
National Provider Directory- Tax ID family
- C Stanley Raymond
- Part of
- C Stanley Raymond
Organizations with this tax ID in the same state 19
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Preferred Provider Organization
- Hyannis, MA
- NPI 1982089199
-
- Case Management Agency
- Lowell, MA
- NPI 1811014905
-
- Case Management Agency
- Waltham, MA
- NPI 1851422661
-
- Student Health Clinic/Center
- Buzzards Bay, MA
- NPI 1902240047
-
- Case Management Agency
- Walpole, MA
- NPI 1982735643
-
- Case Management Agency
- Brockton, MA
- NPI 1821117359
-
- Case Management Agency
- Northampton, MA
- NPI 1861515496
-
- Mental Illness Community Based Residential Treatment Facility
- Westborough, MA
- NPI 1922127349
-
- Mental Illness Community Based Residential Treatment Facility
- Westborough, MA
- NPI 1972620680
-
- Case Management Agency
- Pittsfield, MA
- NPI 1982727251
-
- Psychiatric Hospital
- Fall River, MA
- NPI 1982746434
-
- Adult Mental Health Clinic/Center
- Boston, MA
- NPI 1881954741
Locations
280 Merrimack St
Fl 3
Lawrence, MA 01843
Phone (707) 706-3584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1942339825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BROAD STREET",
"address_2": "4TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "02109",
"telephone_number": "617-727-5608",
"fax_number": "617-624-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MERRIMACK STREET",
"address_2": "3RD FLOOR",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "01843",
"telephone_number": "978-521-9432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMONWEALTH OF MASSACHUSETTS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMMONWEALTH OF MASSACHUSETTS",
"enumeration_date": "2007-03-05",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "LATTIMORE",
"authorized_official_first_name": "DYLAN",
"authorized_official_title_or_position": "DEPUTY COMMISSIONER FOR ADMINISTRAT",
"authorized_official_telephone_number": "857-408-0675"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110000085L",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1813366",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DDS MERRIMACK VALLEY AREA OFFICE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Department of Developmental Services - Merrimack Valley Area Office",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lawrence, MA
- Carole Colsell, LICSW
- Column Health LLC
- Column Health, LLC
- Comfort Angels Home Health Care Inc
- Commonwealth of Massachusetts
- Community Adult Daycare Center, LLC
- Community Day Charter Public School - Gateway
- Community Day Charter Public School - R. Kingman Webster
- Community Day Charter School
- Community Dentist Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.