McAuley Nazareth Home for Boys, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MCAULEY NAZARETH HOME FOR BOYS, INC.

Practice address

77 Mulberry St
Leicester, MA 01524-1011

Phone

(508) 892-4886

Fax

(508) 892-9736

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Shelley Mangan

Title

Director of Finance and Development

Phone

(508) 892-4886

Specialties & licenses 3

Addresses

Other names 1

• Nazareth Doing business as

Electronic endpoints 2

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1992368153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MULBERRY ST",
            "city": "LEICESTER",
            "state": "MA",
            "postal_code": "015241011",
            "telephone_number": "508-892-4886",
            "fax_number": "508-892-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MULBERRY ST",
            "city": "LEICESTER",
            "state": "MA",
            "postal_code": "015241011",
            "telephone_number": "508-892-4886",
            "fax_number": "508-892-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCAULEY NAZARETH HOME FOR BOYS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "MANGAN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE AND DEVELOPMENT",
        "authorized_official_telephone_number": "508-892-4886"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbruley@mcauleynazareth.org",
            "affiliation": "N",
            "endpointDescription": "E-Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "77 Mulberry St",
            "city": "Leicester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015241011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smangan@mcauleynazareth.org",
            "affiliation": "N",
            "endpointDescription": "E-Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "77 Mulberry St",
            "city": "Leicester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015241011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nazareth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nazareth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adolescent and Children Mental Health Clinic/Center in Leicester, MA
• Providers in Leicester, MA by specialty
• Adolescent and Children Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.