THE DIMOCK CENTER
NPI 1336563188
Clinic/Center - Community Health in Roxbury, MA
NPI Status: Active since February 14, 2014
Contact Information
55 DIMOCK ST
CREDENTIALING OFFICE
ROXBURY, MA
ZIP 02119
Phone: (617) 442-8800
Fax: (617) 427-2784
- Organization
- Clinic/Center
- Community Health
- CLIA Number: 22D0880623
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 02-01-2027
About THE DIMOCK CENTER
This page provides the complete NPI Profile along with additional information for The Dimock Center, a primary care provider established in Roxbury, Massachusetts operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1336563188 assigned on February 2014. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as The Dimock Center. The authorized official of this NPI record is Kerlley Aime' (Credentialing Coordinator)
- NPI
- 1336563188
- Provider Legal Name
- DIMOCK COMMUNITY HEALTH CENTER
- Other Organization Name
- THE DIMOCK CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 55 DIMOCK ST CREDENTIALING OFFICE ROXBURY, MA 02119
- Location Phone
- (617) 442-8800
- Location Fax
- (617) 427-2784
- Mailing Address
- 55 DIMOCK ST CREDENTIALING OFFICE ROXBURY, MA 02119
- Mailing Phone
- (617) 442-8800
- Mailing Fax
- (617) 427-2784
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-14-2014
- Last Update Date
- 02-14-2014
- Code Navigator
A primary care provider (PCP) like The Dimock Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Community Health
- Taxonomy Code
- 261QC1500X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| M21066 | OTHER (01) | MA | MEDICARE PTAN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D0880623
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- February 02, 2025
- Certificate Expiration Date
- February 01, 2027
- Laboratory Director
- DR. CHARLES L. ANDERSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to The Dimock Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 5 | 6 | 3 | 1 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 10 | 6 | 6 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 0 + 6 + 6 + 1 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1336563188 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497705628 | DR. MYECHIA MINTER-JORDAN M.D., MBA Individual | Internal Medicine | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1093755530 | JULIE L TISHLER M.D. Individual | Internal Medicine | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1710912803 | KATHARYN M ATKINS M.D. Individual | Obstetrics & Gynecology | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1679655146 | DR. ONAH CHO O.D. Individual | Optometrist | 55 DIMOCK ST EYE CARE SERVICES ROXBURY, MA 02119 (617) 442-8800 |
| 1609950336 | MS. PAULINA MARIE HEYWOOD MSW/LICSW Individual | Social Worker (Clinical) | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1316023245 | MS. ANNE MARIE WAMBA MA Individual | Marriage & Family Therapist | 55 DIMOCK ST COMMUNITY CARE CENTER ROXBURY, MA 02119 (617) 442-8800 |
| 1508943382 | DR. LAGINA DAWN BICKHAM DMD Individual | Dentist (General Practice) | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1619054210 | MS. YVONNE MARIE DESMOND LCSW, LADC-I Individual | Social Worker | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1053482737 | MS. JESSICA LEE PATNODE LCSW Individual | Social Worker | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1225109986 | MS. JUDY UFFER Individual | Counselor (Mental Health) | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1467526574 | CLARE MARTINA LMHC Individual | Counselor (Mental Health) | 55 DIMOCK ST GODDARD BUILDING ROXBURY, MA 02119 (617) 442-8800 |
| 1447325295 | LINDA WILLIAMS LCSW Individual | Counselor (Mental Health) | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1588724207 | MISS KAREN MARSHALL MSW INTERN Individual | Social Worker | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1083774053 | DEBORAH C FANARA-VIASUS Individual | Occupational Therapist (Pediatrics) | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1609930171 | MRS. JESSICA MARIE NUHIBIAN BOISVERT MSW, LCSW, CEIS Individual | Social Worker (Clinical) | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1396894465 | MS. NASRIN NIKBIN MED Individual | Counselor (Mental Health) | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1558412676 | MRS. AISLING MARIE LYDEARD NP Individual | Nurse Practitioner (Women's Health) | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1932247186 | MR. ABDUL JALIL JONES M.ED. Individual | Counselor (Addiction (Substance Use Disorder)) | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1134267115 | MR. DAVID FITZGERALD PURVIS LADC-1 Individual | Counselor (Addiction (Substance Use Disorder)) | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
| 1467590273 | MRS. CAROLYN E. REYNOLDS M.ED Individual | Counselor (Addiction (Substance Use Disorder)) | 55 DIMOCK ST ROXBURY, MA 02119 (617) 442-8800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336563188, enumerated in the NPI registry as an "organization" on February 14, 2014
The provider is located at 55 Dimock St Credentialing Office Roxbury, Ma 02119 and the phone number is (617) 442-8800
This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 22D0880623 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 14, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.