Active NPIOrganization

Friends Of The Shattuck Shelter

Counselor, Addiction (Substance Use Disorder) in Jamaica Plain, Massachusetts

NPI Number1497897250
Practice location
170 Morton St, Jamaica Plain, MA 02130-3735
Fax
617-971-9339
Last updated
August 22, 2020

Friends Of The Shattuck Shelter is a healthcare organization based in Jamaica Plain, MA. Friends Of The Shattuck Shelter practices in Jamaica Plain, MA. The NPI Number for Friends Of The Shattuck Shelter is 1497897250 and holds a License No. 0796 (MA). The current practice location address for Friends Of The Shattuck Shelter is 170 Morton St, Jamaica Plain, MA 02130-3735 and can be reached out via phone at 617-983-0351 and via fax at 617-971-9339.

Provider Profile Details

NPI Number
1497897250
Provider Name
Friends Of The Shattuck Shelter
Provider Entity Type
Organization
Address
170 Morton St, Jamaica Plain, MA 02130-3735
Phone Number
617-983-0351
Fax Number
617-971-9339
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Organization Subpart
No
Authorized Official
Mrs. Deborah Putnam, MPH, MSW · Director Of Program Development · 617-983-0351
Provider Enumeration Date
February 12, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Morton St
Jamaica Plain, MA 02130-3735
Zip
02130-3735
Phone Number
617-983-0351
Fax Number
617-971-9339
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
170 Morton St
Jamaica Plain, MA 02130-3735
City
Jamaica Plain
State
MA
Zip
02130-3735
Phone Number
617-983-0351
Fax Number
617-971-9339

License Information

License Number
0796
License State
MA
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Friends Of The Shattuck Shelter?

The NPI number of Friends Of The Shattuck Shelter is 1497897250. It was assigned on February 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Friends Of The Shattuck Shelter?

Friends Of The Shattuck Shelter is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 0796.

Where does Friends Of The Shattuck Shelter practice?

The practice location is 170 Morton St, Jamaica Plain, MA 02130-3735. The office can be reached at 617-983-0351 (phone) or 617-971-9339 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497897250 directly on the NPPES registry website.

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