Organization
TRUSTEES OF BOSTON UNIVERSITY
Active
Other names
The Danielsen Institute
Organization subpart
No
Provider details
NPI number
Authorized official
CARA ELLIS (DIRECTOR OF FINANCES)
(617) 353-3047
Entity
Organization
Contact information
Practice address
185 BAY STATE RD, BOSTON, MA 02215-1506
(617) 353-3047
Mailing address
185 BAY STATE RD, BOSTON, MA 02215-1506
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4405
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005525710
CHICKERING
MA
01
—
1005000
BEACON HEALTH STRATEGIES
MA
01
—
290252
MAGELLAN
MA
01
—
734176
TUFTS
MA
01
—
LMG104
BCBS-LMHC
MA
01
—
M18665
BLUE CROSS BLUE SHIELD
MA
01
—
M18666
BCBS-PSYCHIATRISTS
MA
01
—
P10340
BCBS-LICSW
MA
01
—
W10575
BCBS-PSYCHOLOGISTS
MA
Enumeration date
09/20/2006
Last updated
08/22/2020
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