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Organization
BOSTON PUBLIC HEALTH COMMISSION
Active
Organization
BOSTON PUBLIC HEALTH COMMISSION
Active
Other names
Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH MARTINEZ (DIRECTOR OF REVENUE)
(617) 534-4222
Entity
Organization
Contact information
Practice address
25 JAMES ONEILL ST, SOUTH BOSTON, MA 02127-4504
(617) 534-9500
Mailing address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 534-5264
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4YHQ
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001542402
MEDICARE PTAN
MA
05
—
110025617/G
—
MA
01
—
4YHQ
MENTAL HEALTH LICENSE
MA
Enumeration date
10/23/2014
Last updated
03/05/2026
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