NPIMap

Organization Active NPI

Toward Independent Living & Learning, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dedham, MA
National Provider Identifier
1992898035
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TOWARD INDEPENDENT LIVING & LEARNING, INC.
Practice address
20 Eastbrook Rd
Dedham, MA 02026-2075
Phone
(781) 302-4604
Fax
(781) 234-1104
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kevin M Stock, MS
Title
Vice President - Operations
Phone
(781) 302-4604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

20 Eastbrook Rd
Dedham, MA 02026-2075

Mailing address

20 Eastbrook Rd
Dedham, MA 02026-2075
Phone (781) 302-4604

Other identifiers 1

IdentifierTypeStateIssuer
1309625MedicaidMA

Other names 1

  • TILL, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060215000402 MA Part B Supplier - Clinic/Group Practice 6103831979 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Dedham, MA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Till Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 Eastbrook Rd
Ste 104
Dedham, MA 02026
Phone (781) 329-9365

20 Eastbrook Rd
Ste 201
Dedham, MA 02026
Phone (781) 302-4600

Practitioners & affiliated clinicians

Practitioners 66

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

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992898035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EASTBROOK RD",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262075",
            "telephone_number": "781-302-4604",
            "fax_number": "781-234-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EASTBROOK RD",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262075",
            "telephone_number": "781-302-4604",
            "fax_number": "781-234-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWARD INDEPENDENT LIVING & LEARNING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT - OPERATIONS",
        "authorized_official_telephone_number": "781-302-4604",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309625",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TILL, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.