Organization Active NPI

Cambridge Health Alliance

  • Primary Care Clinic/Center
  • Malden, MA
National Provider Identifier
1992151070
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAMBRIDGE HEALTH ALLIANCE
Practice address
195 Canal St
Malden, MA 02148-6701
Phone
(781) 338-0520
NPI assigned
May 9, 2016
Last updated
May 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Mrs. Cecilia Ann Buckley, RN,MSN
Title
Nurse Practice Administrator
Phone
(781) 338-0520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

195 Canal St
Malden, MA 02148-6701

Mailing address

11 Leicester Rd
Belmont, MA 02478-3324
Phone (617) 489-1708

National Provider Directory

National Provider Directory

Locations

195 Canal St
Malden, MA 02148
Phone (781) 338-0055

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1992151070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LEICESTER RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783324",
            "telephone_number": "617-489-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 CANAL ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486701",
            "telephone_number": "781-338-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "781-338-0520",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,MSN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.