Active NPI
Excel Academy Charter School-Chelsea
- Local Education Agency (LEA)
- Chelsea, MA
National Provider Identifier
1972889004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- EXCEL ACADEMY CHARTER SCHOOL-CHELSEA
- Practice address
- 180 Second Street
Chelsea, MA 02150 - Phone
- (617) 561-1371
- NPI assigned
- Nov 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Ellis
- Title
- Chief Executive Officer
- Phone
- (617) 561-1371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | MA | Primary |
Addresses
Primary practice location
180 Second Street
Chelsea, MA 02150
Mailing address
180 Second Street
Chelsea, MA 02150
Phone (617) 561-1371
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2269352 | Excel Academy Charter School | Certificate of waiver | Sep 23, 2026 |
National Provider Directory
National Provider DirectoryLocations
180 2nd St
Chelsea, MA 02150
Phone (617) 561-1371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1972889004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 SECOND STREET",
"city": "CHELSEA",
"state": "MA",
"postal_code": "02150",
"telephone_number": "617-561-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 SECOND STREET",
"city": "CHELSEA",
"state": "MA",
"postal_code": "02150",
"telephone_number": "617-561-1371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL ACADEMY CHARTER SCHOOL-CHELSEA",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-03",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "617-561-1371"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chelsea, 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 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.