JUDGE BAKER CHILDREN'S CENTER (NPI# 1629559059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629559059 |
| Entity Type | Organization |
| Organization Name | JUDGE BAKER CHILDREN'S CENTER |
| Practice Address |
53 Parker Hill Ave Boston MA 02120-3225 |
| Practice Telephone | 6172784265 |
| Mailing Telephone | 6172784265 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | ALAN KAYE (V.P. OF FINANCE AND OPERATIONS) |
| Authorized Official Telephone | 6172784277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JUDGE BAKER CHILDREN'S CENTER | 53 Parker Hill Ave, Roxbury, MA 02120-3225 |
| Street Address |
53 PARKER HILL AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02120-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154487338 | Michelle Marie Malnati | Nurse Practitioner | 53 Parker Hill Ave, Boston, MA 02120 | 2006-12-29 |
| 1275183394 | Stephani Synn | Student in an Organized Health Care Education/Training Program | 53 Parker Hill Ave, Boston, MA 02120-3225 | 2019-09-19 |
| 1730662701 | Max Louis Perkins | Social Worker | 53 Parker Hill Ave, Boston, MA 02120-3225 | 2018-09-14 |
| 1639651656 | Hannah Doucette | Student in an Organized Health Care Education/Training Program | 53 Parker Hill Ave, Boston, MA 02120-3225 | 2018-09-06 |
| 1962984914 | Zsofia K. Tengstrand | Student in an Organized Health Care Education/Training Program | 53 Parker Hill Ave, Boston, MA 02120 | 2018-09-05 |
| 1205320553 | Eliza Adler | Social Worker | 53 Parker Hill Ave, Boston, MA 02120-3225 | 2018-06-20 |
| 1083106801 | Ellen M Sandoval | Social Worker | 53 Parker Hill Ave, Boston, MA 02120-3225 | 2018-06-06 |
| 1730671017 | Catherine Schwartz | Social Worker | 53 Parker Hill Ave, Boston, MA 02120-3225 | 2018-06-03 |
| 1376030544 | Susan Lee | Social Worker | 53 Parker Hill Ave, Boston, MA 02120-3225 | 2018-04-13 |
| 1467960971 | Iliana Partan | Social Worker | 53 Parker Hill Ave, Boston, MA 02120-3225 | 2018-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
| 1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
| 1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
| 1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
| 1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
| 1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
| 1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
| 1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
| Find all providers in zip 02120 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381539 | Omar Thompson Oral Thompson | Clinic/Center | 20 Goodale Rd Apt 2, Boston, MA 02126-1788 | 2019-11-22 |
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| 1083226518 | Joyful Advantage, LLC | Clinic/Center | 10 Columbia St, North Chelmsford, MA 01863-1901 | 2020-08-17 |
| 1265050280 | Neuropsychological Evaluations of Northampton | Clinic/Center | 71 King St Apt 1, Northampton, MA 01060-3276 | 2020-07-07 |
| 1982225835 | Let It Shine, LLC | Clinic/Center | 5 Market Sq Ste 203a, Amesbury, MA 01913-2426 | 2020-05-01 |
| 1134778145 | Schnitzer Associates, Incorporated | Clinic/Center | 127 Concord Ave, Lexington, MA 02421-8203 | 2019-09-11 |
| 1942868781 | Wellness Empowerment | Clinic/Center | 10 New Driftway Ste 302, Scituate, MA 02066-4546 | 2019-06-05 |
| 1366009672 | Learning Curve Assessment Center | Clinic/Center | 559 Foundry St, South Easton, MA 02375-1357 | 2019-05-22 |
| 1285198432 | Perry Psychiatry, LLC | Clinic/Center | 2 Narrows Rd Bldg C, Westminster, MA 01473-1677 | 2019-01-22 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1386167666 | Karrah A Norris | Clinic/Center | 10 Medowbrook Rd, Brockton, MA 02301 | 2017-07-19 |
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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.