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BOSTON COLLEGIATE CHARTER SCHOOL
NPI 1457574865
Local Education Agency (LEA) in Dorchester, MA

Active since April 11, 2007CLIA 22D2266639 · Waiver
11 MAYHEW ST, DORCHESTER, MA 02125(617) 265-1172 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boston Collegiate Charter School NPPES

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

BOSTON COLLEGIATE CHARTER SCHOOL (NPI 1457574865) is a healthcare organization registered as a local education agency (lea) in Dorchester, Massachusetts and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Kathleen Sullivan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457574865
Entity TypeOrganization
Primary Taxonomy251300000X
Legal Business NameBOSTON COLLEGIATE CHARTER SCHOOL
Location Address11 MAYHEW STDorchester, MA 02125-1628
Mailing Address11 Mayhew StDorchester, MA 02125-1628 · (617) 265-1172
Phone(617) 265-1172
Organization SubpartNo
Authorized OfficialKathleen SullivanExecutive Director · (617) 265-1172
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1457574865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies
Taxonomy Code251300000X
Definition
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
11 MAYHEW ST, Dorchester, MA 02125
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Other Identifiers 1

Medicaid1951459MA

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 22D2266639

Boston Collegiate Charter School · Dorchester, MA
Active · expires Aug 11, 2026
CLIA Number22D2266639
Laboratory TypeSchool/Student Health Service
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorJennifer E. Ryan
Laboratory Phone(617) 265-1172
Laboratory LocationBoston Collegiate Charter School11 Mayhew St, Dorchester, MA 02125
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

BERTHNELL REBECCA ANTOINE
Student in an Organized Health Care Education/Training Program
11 MAYHEW ST
DORCHESTER, MA 02125
Suffolk County (508) 505-4026
JENNAE HERBERT
Student in an Organized Health Care Education/Training Program
11 MAYHEW ST
DORCHESTER, MA 02125
Suffolk County (860) 505-5770

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 Boston Collegiate Charter School's NPI number?

The NPI number for Boston Collegiate Charter School is 1457574865. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Boston Collegiate Charter School located?

Boston Collegiate Charter School is located at 11 Mayhew St, Dorchester, MA 02125. The listed phone number is (617) 265-1172.

What is Boston Collegiate Charter School's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Does Boston Collegiate Charter School hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2266639) is associated with this NPI, valid through August 11, 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 Boston Collegiate Charter School was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.