Healthcare Provider Details

I. General information

NPI: 1063846384
Provider Name (Legal Business Name): CAMBRIDGE PUBLIC HEALTH COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 HIGHLAND AVE
SOMERVILLE MA
02143-1408
US

IV. Provider business mailing address

230 HIGHLAND AVE
SOMERVILLE MA
02143-1408
US

V. Phone/Fax

Practice location:
  • Phone: 617-591-4500
  • Fax:
Mailing address:
  • Phone: 617-591-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number414871
License Number StateMA

VIII. Authorized Official

Name: JILL BATTY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 781-338-0301