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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