COMMONWEALTH COLLABORATIVE CARE, LLC (NPI# 1164994232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164994232 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH COLLABORATIVE CARE, LLC |
| Practice Address |
143 Newbury St Ste 4 Boston MA 02116-2925 |
| Practice Telephone | 6174404245 |
| Mailing Telephone | 6174404245 |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2018-12-29 |
| Authorized Official Name | CHARLENE CHOW (OWNER) |
| Authorized Official Telephone | 6174404245 |
| Authorized Official Credential | LMHC, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Charlene C. Chow, LMHC, MPH | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 72 Langley Rd Ste 23, Newton, MA 024591909 | 6174404245 |
| Street Address |
143 NEWBURY ST STE 4 |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512260 | Souls Sprout Mindful Care, Inc | Clinic/Center | 800 Boylston St Fl 16, Boston, MA 02199-7637 | 2020-09-14 |
| 1114561776 | Sparsha S Reddy Md Pllc | Clinic/Center | 399 Boylston St Ste 900b, Boston, MA 02116-3305 | 2019-11-06 |
| 1871150540 | Lesley Fields Psyd LLC | Clinic/Center | 75 Arlington St Fl 5, Boston, MA 02116-3936 | 2019-05-28 |
| 1336705631 | Rachel Duda Psyd LLC | Clinic/Center | 45 Newbury St Ste 333, Boston, MA 02116-3177 | 2019-05-13 |
| 1770148470 | Nicole Charos Pllc | Clinic/Center | 330 Brookline Ave # Rabb2, Boston, MA 02215-5491 | 2019-05-08 |
| 1972098937 | Harwal Healing Alliance PC | Clinic/Center | 399 Boylston St Ste 900, Boston, MA 02116-3305 | 2018-06-22 |
| 1023522927 | Dr. Laura Fasciano LLC | Clinic/Center | 101 Arch St Fl 8, Boston, MA 02110-7500 | 2017-11-30 |
| 1619481470 | Cascade Counseling & Wellness | Clinic/Center | 29 Commonwealth Ave Ste 902, Boston, MA 02116-2349 | 2017-11-30 |
| 1851774053 | Helen M. Farrell, M.d., LLC | Clinic/Center | 29 Commonwealth Ave, Suite 906, Boston, MA 02116-2349 | 2015-07-07 |
| 1386071215 | Brigham and Women's Hospital | Clinic/Center | 221 Longwood Ave, Boston, MA 02115-5804 | 2013-10-10 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.