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PINE STREET INN
NPI 1649658741
Rehabilitation, Substance Use Disorder Unit in Boston, MA

Active since May 11, 2015
170 MORTON ST, BOSTON, MA 02130(617) 892-7893 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pine Street Inn NPPES

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

PINE STREET INN (NPI 1649658741) is a healthcare organization registered as a rehabilitation, substance use disorder unit in Boston, Massachusetts and active in the NPI registry since May 2015. The organization lists Maria Imelda Fitzpatrick, Clinician, as its authorized official.

NPPES Registry Identity

NPI1649658741
Entity TypeOrganization
Primary Taxonomy276400000X
Legal Business NamePINE STREET INN
Location Address170 MORTON STBoston, MA 02130-3735
Mailing Address1220 Adams St, G17Boston, MA 02124-5752 · (917) 334-2916
Phone(617) 892-7893
Organization SubpartNo
Authorized OfficialMaria Imelda FitzpatrickClinician · (617) 892-7893
Enumeration DateMay 11, 2015
✔ NPI 1649658741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation, Substance Use Disorder UnitHospital Units
Taxonomy Code276400000X
License✔ Licensed in MA · 220519
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
170 MORTON ST, Boston, MA 02130
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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.

MOBINA GHOJOGHNEJAD MD
Student in an Organized Health Care Education/Training Program
170 MORTON ST
BOSTON, MA 02130
Suffolk County (617) 971-3336
LEYLA RAELENE SOLIS
Case Manager/Care Coordinator
170 MORTON ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 318-5600
PAUL G BREWER LCSW
Social Worker (Clinical)
170 MORTON ST
BOSTON, MA 02130
Suffolk County (617) 892-7940
DAVID MACMILLAN MD
Psychiatry & Neurology (Psychiatry)
170 MORTON ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 522-8110
SHERI KIM CLEVELAND
Counselor
170 MORTON ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 892-7942
TIFFANY J ST GERMAIN AUD, CCC-A
Audiologist
170 MORTON ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-3272
LEMUEL SHATTUCK HOSPITAL
General Acute Care Hospital
170 MORTON ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-3351
LYNN MARIE CRUZADO
Registered Nurse
170 MORTON ST
BOSTON, MA 02130
Suffolk County (617) 318-5000

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 Pine Street Inn's NPI number?

The NPI number for Pine Street Inn is 1649658741. It was assigned to this organization in the NPPES registry on May 11, 2015.

Where is Pine Street Inn located?

Pine Street Inn is located at 170 Morton St, Boston, MA 02130. The listed phone number is (617) 892-7893.

What is Pine Street Inn's specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

When was this NPI record last updated?

The NPPES record for Pine Street Inn was last updated on May 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.