MEDICARE: THE OPEN DOOR, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	112177	MA

General Provider Information

NPI Number	:	1356370134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE OPEN DOOR, INC

Provider Business Mailing Address
First Line	:	44 UTICA ST
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-3232
Country	:	US
Telephone Number	:	617-984-8370
Fax Number	:	617-984-8371

Provider Business Practice Location Address
First Line	:	1419 HANCOCK ST
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-5250
Country	:	US
Telephone Number	:	617-984-8370
Fax Number	:	617-984-8371

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	GAIL P COCIO
Credential	:	LICSW
Telephone Number	:	617-984-8370

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1871251819 — LAURA J NORRIS ARNP
Practice Location Address:

1419 HANCOCK ST
QUINCY, MA
02169-5250

Practice Phone: 617-770-9690
Practice Fax: 617-770-9692

1578699427 — FORENSIC HEALTH SERVICES INC
Practice Location Address:

1419 HANCOCK ST STE 302
QUINCY, MA
02169-5250

Practice Phone: 617-472-1541
Practice Fax:

1750410403 — DR. RUTH E. KHOWAIS PSY.D.
Practice Location Address:

1419 HANCOCK ST , SUITE 302
QUINCY, MA
02169-5250

Practice Phone: 781-843-8887
Practice Fax: 781-843-3179

1801926779 — JUDITH WILLISON MSW, LICSW
Practice Location Address:

1419 HANCOCK ST , SUITE 302
QUINCY, MA
02169-5250

Practice Phone: 781-843-8887
Practice Fax: 781-843-3179

1780704395 — MR. JOHN NATHANIEL COPELAND MA
Practice Location Address:

1419 HANCOCK ST , STE. 201
QUINCY, MA
02169-5250

Practice Phone: 617-328-0639
Practice Fax:

1750500732 — DR. NIKLOS JAMES TOMICH PSY.D.
Practice Location Address:

1419 HANCOCK ST
QUINCY, MA
02169-5250

Practice Phone: 617-472-1541
Practice Fax:

Directions to “THE OPEN DOOR, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.