Scaffold: A Community Of Support
Counselor, Mental Health in Newtonville, Massachusetts
1699645465- Practice location
- 320 Nevada St, Newtonville, MA 02460-1435
- Phone
- 781-264-1435
- Fax
- 617-843-6965
- Last updated
- November 7, 2025
Scaffold: A Community Of Support is a healthcare organization based in Newtonville, MA. Scaffold: A Community Of Support practices in Newtonville, MA. The NPI Number for Scaffold: A Community Of Support is 1699645465. The current practice location address for Scaffold: A Community Of Support is 320 Nevada St, Newtonville, MA 02460-1435 and can be reached out via phone at 781-264-1435 and via fax at 617-843-6965.
Provider Profile Details
- NPI Number
- 1699645465
- Provider Name
- Scaffold: A Community Of Support
- Provider Entity Type
- Organization
- Address
- 320 Nevada St, Newtonville, MA 02460-1435
- Phone Number
- 781-264-1435
- Fax Number
- 617-843-6965
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Dr. Madelin Cerullo, PHD, LMHC · Chief Clinical Director · 781-264-1435
- Provider Enumeration Date
- November 7, 2025
- Last Update Date
- November 7, 2025
- Certification Date
- November 7, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 320 Nevada St
Newtonville, MA 02460-1435 - City
- Newtonville
- State
- Massachusetts
- Zip
- 02460-1435
- Phone Number
- 781-264-1435
- Fax Number
- 617-843-6965
Provider Business Mailing Address Details
- Address
- 320 Nevada St
Newtonville, MA 02460-1435 - City
- Newtonville
- State
- MA
- Zip
- 02460-1435
- Phone Number
- 781-264-1435
- Fax Number
- 617-843-6965
License Information
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Newtonville, MA
View all Counselor, Mental Health providers in Newtonville →Frequently Asked Questions
What is the NPI number of Scaffold: A Community Of Support?
The NPI number of Scaffold: A Community Of Support is 1699645465. It was assigned on November 7, 2025 and is currently active in the NPPES registry.
What is the specialty of Scaffold: A Community Of Support?
Scaffold: A Community Of Support is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Scaffold: A Community Of Support practice?
The practice location is 320 Nevada St, Newtonville, MA 02460-1435. The office can be reached at 781-264-1435 (phone) or 617-843-6965 (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 1699645465 directly on the NPPES registry website.