SOMERVILLE MENTAL HEALTH ASSOCIATION, INC. (NPI# 1578674289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578674289 |
| Entity Type | Organization |
| Organization Name | SOMERVILLE MENTAL HEALTH ASSOCIATION, INC. |
| Practice Address |
167 Holland St Somerville MA 02144-2401 |
| Practice Telephone | 6176250710 |
| Practice Fax Number | 6176256339 |
| Mailing Telephone | 6176250710 |
| Mailing Fax Number | 6176256339 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-08-16 |
| Authorized Official Name | PETER LENROW (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6176250710 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | RTG | 011301390 | 01 |
| MA | 1302515 | 05 | |
| MA | TUFTS HEALTH PLAN | 701166 | 01 |
| MA | DUNS | 053045860 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 1002850 | 01 |
| MA | NETWORK HEALTH | 996249 | 01 |
| MA | BLUE CROSS OF MA | M184480 | 01 |
| MA | 1309889 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871765644 | Somerville Mental Health Association, Inc. | Clinic/Center | 78 College Ave, Somerville, MA 02144-1916 | 2008-04-01 |
| Street Address |
167 HOLLAND ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02144-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235619396 | Ashley E Speliotis | Social Worker | 167 Holland St, Somerville, MA 02144-2401 | 2018-08-17 |
| 1063999589 | Natasha Naim | Social Worker | 167 Holland St, Somerville, MA 02144-2401 | 2018-07-26 |
| 1891025821 | Bernadette Carty | Counselor | 167 Holland St, Room 133, Somerville, MA 02144-2401 | 2010-01-14 |
| 1356671143 | Michael Williams | Case Manager/Care Coordinator | 167 Holland St, Room 133, Somerville, MA 02144-2401 | 2009-12-30 |
| 1053644369 | Ann Shepardson | Social Worker | 167 Holland St, Room 133, Somerville, MA 02144-2401 | 2009-09-18 |
| 1427289685 | Cindy A Dixon | Registered Nurse | 167 Holland St, Room 133, Somerville, MA 02144-2401 | 2009-08-05 |
| 1790913473 | Cleona Sylvain | Counselor | 167 Holland St, Room 133, Somerville, MA 02144-2401 | 2009-07-01 |
| 1629206602 | Omar Cabrera | Case Manager/Care Coordinator | 167 Holland St, Room 133, Somerville, MA 02144-2401 | 2009-06-29 |
| 1194952226 | Morgan Berns | Case Manager/Care Coordinator | 167 Holland St, Room 133, Somerville, MA 02144-2401 | 2009-06-16 |
| 1073749321 | Christine Peters | Student in an Organized Health Care Education/Training Program | 167 Holland St, Room 133, Somerville, MA 02144-2401 | 2009-06-01 |
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|---|---|---|---|---|
| 1386106953 | Star Markets Company Inc | Durable Medical Equipment & Medical Supplies | 90 Causeway St, Boston, MA 02144 | 2019-04-03 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1275089575 | Nancy Landry Pllc | Family Medicine | Somerville Family Practice, 1020 Broadway, Somerville, MA 02144 | 2016-08-28 |
| 1982019451 | Wilson Garcia Acosta | Specialist | 278 Powderhouse, Somerville, MA 02144 | 2014-06-24 |
| 1376954289 | Jonathan Farr | Counselor | 1236 Broadway Ste 12, Somerville, MA 02144 | 2014-05-13 |
| 1356751945 | Christina Sakelarakis | Psychologist | 73 Fairfax St, Somerville, MA 02144 | 2014-05-05 |
| 1578905816 | Nicolle Woods | Behavioral Analyst | 58 Day St #441938, Somerville, MA 02144 | 2013-07-29 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1932363355 | Hang Le Ngo | Psychologist | 53 Chester Street, Somerville, MA 02144 | 2008-07-15 |
| Find all providers in zip 02144 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154659563 | Erik Joseph Gans | Clinic/Center | 24 Central Rd # 3, Somerville, MA 02143-1206 | 2009-11-23 |
| 1073739801 | Bay Cove Human Services Inc. | Clinic/Center | 19 Laurel St, Somerville, MA 02143-2822 | 2007-04-18 |
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| 1356624043 | Cambridge Health Alliance | Clinic/Center | 26 Central St, Somerville, MA 02143-2827 | 2011-09-20 |
| 1598047417 | Cambridge Health Alliance | Clinic/Center | 26 Central St, Somerville, MA 02143-2827 | 2011-09-16 |
| 1871765644 | Somerville Mental Health Association, Inc. | Clinic/Center | 78 College Ave, Somerville, MA 02144-1916 | 2008-04-01 |
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| 1497353130 | Handel Behavioral Health Services | Clinic/Center | 2 Master Dr Ste 1a, Franklin, MA 02038-3052 | 2020-10-14 |
| 1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
| 1710597406 | Bridge of Changes | Clinic/Center | 215 Berkshire Ave, Springfield, MA 01109-1638 | 2020-08-06 |
| 1457969297 | Starlight Counseling Services, Inc | Clinic/Center | 50 Elm St Unit D, Southbridge, MA 01550-2648 | 2020-07-17 |
| 1386262053 | 1a Wellness, LLC | Clinic/Center | 225 Main St Ste 4, Wenham, MA 01984-1459 | 2020-07-09 |
| 1528683596 | Aviv, LLC | Clinic/Center | 511 Old Fall River Rd, Dartmouth, MA 02747-1208 | 2020-06-15 |
| 1447872130 | Mindset Social Solutions Inc. | Clinic/Center | 79 Regis Rd Apt 1, Mattapan, MA 02126-1743 | 2020-05-15 |
| 1992325914 | Al Counseling | Clinic/Center | 300 Baker Ave Ste 300, Concord, MA 01742-2124 | 2020-04-20 |
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| City | SOMERVILLE |
| Zip Code | 02144 |
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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.