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MASSACHUSETTS MENTAL HEALTH CENTER
NPI 1316211766
Community/Behavioral Health in Boston, MA

Active since March 02, 2012CLIA 22D2275413 · Waiver
75 FENWOOD RD, BOSTON, MA 02115(617) 626-9589(617) 626-9578 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Massachusetts Mental Health Center NPPES

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

MASSACHUSETTS MENTAL HEALTH CENTER (NPI 1316211766) is a healthcare organization registered as a community/behavioral health in Boston, Massachusetts and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Margaret Guyer, Director, Mmhc Outpatient Clinic, as its authorized official.

NPPES Registry Identity

NPI1316211766
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMASSACHUSETTS MENTAL HEALTH CENTER
Location Address75 FENWOOD RDBoston, MA 02115-6103
Mailing Address75 Fenwood RdBoston, MA 02115-6103 · (617) 626-9589 · Fax (617) 626-9578
Phone(617) 626-9589
Fax(617) 626-9578
Organization SubpartNo
Authorized OfficialMargaret GuyerDirector, Mmhc Outpatient Clinic · (617) 626-9338
Enumeration DateMarch 2, 2012
✔ NPI 1316211766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MA · 215059
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

75 FENWOOD RD, Boston, MA 02115
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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 22D2275413

Massachusetts Mental Health Center · Boston, MA
Active · expires Jan 19, 2027
CLIA Number22D2275413
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorJose Hidalgo
Laboratory Phone(617) 626-9300
Laboratory LocationMassachusetts Mental Health Center75 Fenwood Rd, Boston, MA 02115
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 19

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

DR. DANIEL EDWARDS PSYD
Psychologist (Clinical)
75 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 626-9318
MRS. ANDREA L. GRANATO LCSW
Social Worker (Clinical)
75 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 754-1209
MASS MENTAL HEALTH CENTER
Clinic/Center (Adult Mental Health)
75 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 626-9727
RODRIGO C CORAZON LICSW
Social Worker (Clinical)
75 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 626-9589
MS. KATHLEEN MARIE PUCKETT-LESLIE APRN,BC
Registered Nurse (Psychiatric/Mental Health)
75 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 626-9300
MICHELLE S. FRIEDMAN-YAKOOBIAN PHD
Psychologist (Clinical)
75 FENWOOD RD, MASSACHUSETTS MENTAL HEALTH CTR 5TH FLOOR
BOSTON, MA 02115
Suffolk County (617) 754-1210
DR. BENJAMIN KILLILEA PH.D.
Psychologist
75 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 626-9318
KERRY NELLIGAN PSY.D.
Psychologist (Clinical)
75 FENWOOD RD
BOSTON, MA 02115
Suffolk County (617) 626-9774

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 Massachusetts Mental Health Center's NPI number?

The NPI number for Massachusetts Mental Health Center is 1316211766. It was assigned to this organization in the NPPES registry on March 2, 2012.

Where is Massachusetts Mental Health Center located?

Massachusetts Mental Health Center is located at 75 Fenwood Rd, Boston, MA 02115. The listed phone number is (617) 626-9589.

What is Massachusetts Mental Health Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Massachusetts Mental Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2275413) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Massachusetts Mental Health Center was last updated on March 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.