Healthcare Provider Details

I. General information

NPI: 1215912894
Provider Name (Legal Business Name): DCS MENTAL HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 MYSTIC AVE SUITE SIX
MEDFORD MA
02155-4632
US

IV. Provider business mailing address

151 MYSTIC AVE SUITE SIX
MEDFORD MA
02155-4632
US

V. Phone/Fax

Practice location:
  • Phone: 781-396-1199
  • Fax: 781-396-1439
Mailing address:
  • Phone: 781-396-1199
  • Fax: 781-396-1439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number42G1
License Number StateMA

VIII. Authorized Official

Name: MS. JANE HILL
Title or Position: PRESIDENT
Credential: LMHC
Phone: 781-799-7055