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KHALID MUSTAFA
NPI 1336829977
Case Manager/Care Coordinator in Boston, MA

Active since July 19, 2023
12 SOUTHERN AVE, BOSTON, MA 02124(617) 780-0870(617) 516-8274 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Khalid Mustafa NPPES

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

KHALID MUSTAFA (NPI 1336829977) is an individual case manager/care coordinator provider in Boston, Massachusetts and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1336829977
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameKHALID MUSTAFA
Location Address12 SOUTHERN AVEBoston, MA 02124-2012
Mailing Address12 Southern AveBoston, MA 02124-2012 · (617) 708-0870 · Fax (617) 516-8274
Phone(617) 780-0870
Fax(617) 516-8274
Sole ProprietorYes
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
✔ NPI 1336829977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
12 SOUTHERN AVE, Boston, MA 02124
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Other Providers at the Same Location NPPES 20

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

BRETT ERIN HANNIGAN
Case Manager/Care Coordinator
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
KAELEIGH CHERISSE DE SILVA
Counselor (Mental Health)
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
TRACY ELIZABETH HUNT
Student in an Organized Health Care Education/Training Program
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
LISA VOGEL
Student in an Organized Health Care Education/Training Program
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 249-4079
MRS. KEILA MICHELE WOLFE
Counselor (Mental Health)
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
FATHERS' UPLIFT FAMILY GROUP, LLC
Social Worker (Clinical)
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
PHILLIP REASON
Student in an Organized Health Care Education/Training Program
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
MS. SHAKINA COPLIN
Social Worker (Clinical)
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870

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 Khalid Mustafa's NPI number?

The NPI number for Khalid Mustafa is 1336829977. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Khalid Mustafa located?

Khalid Mustafa practices at 12 Southern Ave, Boston, MA 02124. The listed phone number is (617) 780-0870.

What is Khalid Mustafa's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Khalid Mustafa was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.