Pine Street Inn
Rehabilitation, Substance Use Disorder Unit in Boston, Massachusetts
1649658741- Practice location
- 170 Morton St, Boston, MA 02130-3735
- Phone
- 617-892-7893
- Fax
- —
- Last updated
- May 11, 2015
Pine Street Inn is a healthcare organization based in Boston, MA. Pine Street Inn practices in Boston, MA. The NPI Number for Pine Street Inn is 1649658741 and holds a License No. 220519 (MA). The current practice location address for Pine Street Inn is 170 Morton St, Boston, MA 02130-3735 and can be reached out via phone at 617-892-7893.
Provider Profile Details
- NPI Number
- 1649658741
- Provider Name
- Pine Street Inn
- Provider Entity Type
- Organization
- Address
- 170 Morton St, Boston, MA 02130-3735
- Phone Number
- 617-892-7893
- Primary Taxonomy
- Rehabilitation, Substance Use Disorder Unit · 276400000X
- Organization Subpart
- No
- Authorized Official
- Ms. Maria Imelda Fitzpatrick, LCSW · Clinician · 617-892-7893
- Provider Enumeration Date
- May 11, 2015
- Last Update Date
- May 11, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Morton St
Boston, MA 02130-3735 - City
- Boston
- State
- Massachusetts
- Zip
- 02130-3735
- Phone Number
- 617-892-7893
Provider Business Mailing Address Details
- Address
- 1220 Adams St
G17
Boston, MA 02124-5752 - City
- Boston
- State
- MA
- Zip
- 02124-5752
- Phone Number
- 917-334-2916
License Information
- License Number
- 220519
- License State
- MA
- Taxonomy
- Rehabilitation, Substance Use Disorder Unit · 276400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Pine Street Inn?
The NPI number of Pine Street Inn is 1649658741. It was assigned on May 11, 2015 and is currently active in the NPPES registry.
What is the specialty of Pine Street Inn?
Pine Street Inn is registered under the primary taxonomy Rehabilitation, Substance Use Disorder Unit (code 276400000X), licensed in MA under license number 220519.
Where does Pine Street Inn practice?
The practice location is 170 Morton St, Boston, MA 02130-3735. The office can be reached at 617-892-7893 (phone).
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 1649658741 directly on the NPPES registry website.