CAMBRIDGE EATING DISORDER CENTER
NPI 1053550335
Community Based Residential Treatment Facility, Mental Illness in Cambridge, MA

Active since February 11, 2009CLIA 22D2016006 · Waiver

NPPES record last updated: February 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cambridge Eating Disorder Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMBRIDGE EATING DISORDER CENTER (NPI 1053550335) is a healthcare organization registered as a community based residential treatment facility, mental illness in Cambridge, Massachusetts and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Seda Ebrahimi, Director, as its authorized official.

NPPES Registry Identity

NPI1053550335
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCAMBRIDGE EATING DISORDER CENTER
Location Address3 BOW STCambridge, MA 02138-5109
Mailing Address3 Bow StCambridge, MA 02138-5109 · (617) 547-2255
Organization SubpartNo
Authorized OfficialSeda EbrahimiDirector · (617) 547-2255
Enumeration DateFebruary 11, 2009
NPI 1053550335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in MA · 2671
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3 BOW ST, Cambridge, MA 02138

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2016006

Cambridge Eating Disorder Center · Cambridge, MA
Active · expires Nov 8, 2026
CLIA Number22D2016006
Laboratory TypeMental Hlth Residential
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorSeda Ebrahimi
Laboratory Phone(617) 661-0841
Laboratory LocationCambridge Eating Disorder Center3 Bow Street, Cambridge, MA 02138
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
3 BOW ST
CAMBRIDGE, MA 02138
Counselor (Mental Health)
3 BOW ST
CAMBRIDGE, MA 02138
Dietitian, Registered
3 BOW ST
CAMBRIDGE, MA 02138
Nutritionist
3 BOW ST
CAMBRIDGE, MA 02138
Psychologist (Clinical)
3 BOW ST
CAMBRIDGE, MA 02138
Counselor (Mental Health)
3 BOW ST
CAMBRIDGE, MA 02138
Psychiatric Residential Treatment Facility
3 BOW ST
CAMBRIDGE, MA 02138
Psychologist (Clinical)
3 BOW ST
CAMBRIDGE, MA 02138

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cambridge Eating Disorder Center's NPI number?

The NPI number for Cambridge Eating Disorder Center is 1053550335. It was assigned to this organization in the NPPES registry on February 11, 2009.

Where is Cambridge Eating Disorder Center located?

Cambridge Eating Disorder Center is located at 3 Bow St, Cambridge, MA 02138. The listed phone number is (617) 547-2255.

What is Cambridge Eating Disorder Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Cambridge Eating Disorder Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2016006) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cambridge Eating Disorder Center was last updated on February 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.