NPI Code Detail JSON Logo

1255748281 NPI number — COMMUNITY PSYCH HEALTHCARE LLC

NPI Number: 1255748281
Health Care Provider/Practitioner: COMMUNITY PSYCH HEALTHCARE LLC

Information about “1255748281” NPI (COMMUNITY PSYCH HEALTHCARE LLC) exists in 1255748281 in HTML format HTML  |  1255748281 in plain Text format TXT  |  1255748281 in PDF (Portable Document Format) PDF  |  1255748281 in an XML format XML  formats.

NPI Number : 1255748281 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255748281",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMMUNITY PSYCH HEALTHCARE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1208B VFW PARKWAY",
    "SecondLineMailingAddress": "SUITE 304",
    "MailingAddressCityName": "WEST ROXBURY",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02132",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "978-930-9410",
    "MailingAddressFaxNumber": "978-631-2169",
    "FirstLinePracticeLocationAddress": "661 CENTRE ST.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROCKTON",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "978-930-9410",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/22/2014",
    "LastUpdateDate": "10/09/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EGAH",
    "AuthorizedOfficialFirstName": "NAOMI",
    "AuthorizedOfficialMiddleName": "ADERONKE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "978-930-9410",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.