MASSACHUSETTS MENTAL HEALTH CENTER
NPI 1790836799
Psychiatric Hospital in Jamaica Plain, MA
NPI Status: Active since January 16, 2007
Contact Information
180 MORTON ST
JAMAICA PLAIN, MA
ZIP 02130
Phone: (617) 626-9587
Fax: (617) 626-9578
- Organization
- Psychiatric Hospital
- CLIA Number: 22D0650270
- CLIA Cert. Type: Public Health Laboratories
- CLIA Exp. Date: 07-20-2025
About MASSACHUSETTS MENTAL HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Massachusetts Mental Health Center, a provider established in Jamaica Plain, Massachusetts operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1790836799 assigned on January 2007. The practitioner's primary taxonomy code is 283Q00000X with license number 216179 (MA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Juan Raul Condemarin Md (Psychiatrist)
- NPI
- 1790836799
- Provider Name
- MASSACHUSETTS MENTAL HEALTH CENTER
- Entity Type
- Organization
- Location Address
- 180 MORTON ST JAMAICA PLAIN, MA 02130
- Location Phone
- (617) 626-9587
- Location Fax
- (617) 626-9578
- Mailing Address
- 180 MORTON ST JAMAICA PLAIN, MA 02130
- Mailing Phone
- (617) 626-9587
- Mailing Fax
- (617) 626-9578
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2007
- Last Update Date
- 11-07-2007
- Code Navigator
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
Psychiatric Hospital
- Taxonomy Code
- 283Q00000X
- Type
- Hospitals
- License No.
- 216179
- License State
- MA
- Taxonomy Description
- An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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 |
|---|---|---|---|
| H89961 | MEDICARE UPIN (02) | MA |
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
- 22D0650270
- Facility Type
- Public Health Laboratories
- Certificate Effective Date
- July 21, 2023
- Certificate Expiration Date
- July 20, 2025
- Laboratory Director
- NICOLAS N. EPIE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Massachusetts Mental Health Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 | 7 | 9 | 0 | 8 | 3 | 6 | 7 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 3 | 12 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 3 + 1 + 2 + 7 + 1 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1790836799 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1194826040 | DR. ELISSA ELY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 180 MORTON ST 4NORTH JAMAICA PLAIN, MA 02130 (617) 626-9580 |
| 1528159332 | DR. EILEEN JAN WONG M.D. Individual | Psychiatry & Neurology (Psychiatry) | 180 MORTON ST 4NORTH JAMAICA PLAIN, MA 02130 (617) 626-9367 |
| 1598854168 | MARK CATTALANI M.D. Individual | Psychiatry & Neurology (Psychiatry) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9463 |
| 1548338825 | DR. JUNE GRANT WOLF PHD Individual | Psychologist (Clinical) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9444 |
| 1649320177 | DR. THOMAS GORDON GUTHEIL MD Individual | Psychiatry & Neurology (Forensic Psychiatry) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9659 |
| 1184767410 | MS. LAURA LOGUE ROOD APRN, BC Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 180 MORTON ST BOSTON, MA 02130 (617) 626-9459 |
| 1538384839 | ROSAURA CRUZ PH.D. Individual | Psychologist | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9607 |
| 1013132497 | MR. ROBERT J. FETTIG LICSW Individual | Social Worker (Clinical) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9553 |
| 1386869998 | MR. THOMAS JOSEPH MONTELEONE L.I.C.S.W. Individual | Social Worker (Clinical) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9559 |
| 1104041714 | JEFF R WOODWORTH LICSW Individual | Social Worker (Clinical) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9359 |
| 1689891962 | JOHANNE SODEN LICSW Individual | Social Worker (Clinical) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9555 |
| 1457578205 | MS. WENDY SILVERMAN RN Individual | Clinical Nurse Specialist (Psychiatric/Mental Health, Adult) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9536 |
| 1568680817 | CAROLA MALLOL MS, LMHC Individual | Counselor (Mental Health) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9373 |
| 1447479985 | EKATERINI POULAKOS APRN,BC Individual | Clinical Nurse Specialist (Psychiatric/Mental Health, Adult) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9558 |
| 1992926695 | SUSAN GORNY LICSW Individual | Social Worker (Clinical) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9508 |
| 1336360387 | MS. ANN FINDEISEN APRN,BC Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9310 |
| 1942422522 | MS. GINGER SMITH LCSW Individual | Social Worker (Clinical) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9488 |
| 1902028350 | MRS. BARBARA A. LAGERBOM APRN,BC Individual | Registered Nurse (Psychiatric/Mental Health) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9314 |
| 1083826168 | MS. MINERVA FIGUEROA LMHC Individual | Counselor (Mental Health) | 180 MORTON ST JAMAICA PLAIN, MA 02130 (617) 626-9641 |
| 1750593307 | MS. MARY VICTORIA LISBON LICSW Individual | Social Worker (Clinical) | 180 MORTON ST ROOM 404A JAMAICA PLAIN, MA 02130 (617) 626-9370 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790836799, enumerated in the NPI registry as an "organization" on January 16, 2007
The provider is located at 180 Morton St Jamaica Plain, Ma 02130 and the phone number is (617) 626-9587
This medical organization specializes in Psychiatric Hospital with taxonomy code 283Q00000X
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 22D0650270 for a "public health laboratories" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 16, 2007. 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].
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