Department Of Mental Health - Cambridge Somerville Office

LBN: Commonwealth Of Masschusetts
Department Of Mental Health - Cambridge Somerville Office is an health care organization with primary practice located at 2400 Massachusetts Ave , Cambridge MA 02140-1854. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Commonwealth Of Masschusetts can be contacted via phone (617) 626-4800, or through Licciardello, Tina via phone (617) 626-4800.

Contact Information

Primary practice address
2400 Massachusetts Ave Cambridge MA 02140-1854
Phone: (617) 626-4800
Fax: (617) 497-6128
Website:
Map and Directions
Authorized official contact:
Name: Licciardello, Tina
Phone: (617) 626-4800

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1710004858
LBN Legal business name Commonwealth Of Masschusetts
DBA Doing business as Department Of Mental Health - Cambridge Somerville Office
Authorized official Licciardello, Tina
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710004858 NPPES
Massachusetts MEDICAID 1802151

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