CHILDRE'S HOSPITAL BOSTON EARLY INTERVENTION PROGRAM
NPI 1700982592
Voluntary or Charitable in Jamaica Plain, MA

NPI Status: Active since September 16, 2006

Contact Information

75 BICKFORD ST
JAMAICA PLAIN, MA
ZIP 02130
Phone: (617) 355-4831
Fax: (617) 730-0080

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  • Organization
  • Voluntary or Charitable
  • Accepts Insurance
  • CLIA Number: 22D1092067
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 11-16-2026

About CHILDRE'S HOSPITAL BOSTON EARLY INTERVENTION PROGRAM

This page provides the complete NPI Profile along with additional information for Childre's Hospital Boston Early Intervention Program, a provider established in Jamaica Plain, Massachusetts operating as a Voluntary Or Charitable. The healthcare provider is registered in the NPI registry with number 1700982592 assigned on September 2006. The practitioner's primary taxonomy code is 251V00000X with license number 2139 (MA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Childre's Hospital Boston Early Intervention Program. The authorized official of this NPI record is Mr. David A Kirshner (Sr Vp Finance And Cfo)

NPI
1700982592
Provider Legal Name
CHILDREN'S HOSPITAL CORPORATION
Other Organization Name
CHILDRE'S HOSPITAL BOSTON EARLY INTERVENTION PROGRAM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
75 BICKFORD ST JAMAICA PLAIN, MA 02130
Location Phone
(617) 355-4831
Location Fax
(617) 730-0080
Mailing Address
300 LONGWOOD AVE PATIENT FINANCIAL SERVICES ATN STEVEN NICOLL BOSTON, MA 02115
Mailing Phone
(617) 355-4831
Mailing Fax
(617) 730-0080
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2006
Last Update Date
08-22-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Voluntary or Charitable

Taxonomy Code
251V00000X
Type
Agencies
License No.
2139
License State
MA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID A KIRSHNER

Authorized Official Title
SR VP FINANCE AND CFO
Authorized Official Phone
(617) 355-6881

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0009150OTHER (01)MANEIGHBORHOOD HELATH PLAN
000000006560OTHER (01)MABOSTON MEDICAL CTR HEALTH
E10038OTHER (01)MABLUE CROSS BLUE SHEILD
1803212MEDICAID (05)MA 
623879OTHER (01)MAHARVARD PILGRIM HEALTH PL
613436OTHER (01)MATUFTS HEALTH PLAN

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D1092067
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
November 17, 2024
Certificate Expiration Date
November 16, 2026
Laboratory Director
CARLO BRUGNARA
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Childre's Hospital Boston Early Intervention Program in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1700982592, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 0 + 0 + 1 + 8 + 8 + 4 + 5 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1700982592.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Nurse Practitioner (Obstetrics & Gynecology)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Nurse Practitioner (Family)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Optometrist (Pediatrics)
75 BICKFORD ST, EYE CLINIC
JAMAICA PLAIN, MA 02130
Nurse Practitioner (Women's Health)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Psychologist (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Clinical Nurse Specialist (Women's Health)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Family Medicine
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Nurse Practitioner
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Pediatrics
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Pediatrics
75 BICKFORD ST, MARTHA ELIOT HEALTH CENTER
JAMAICA PLAIN, MA 02130
Pediatrics
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Nurse Practitioner (Pediatrics)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Occupational Therapist
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Psychologist (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Occupational Therapist
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Psychologist (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700982592, enumerated as an "organization" on September 16, 2006.

The provider is located at 75 BICKFORD ST JAMAICA PLAIN, MA 02130 and the phone number is (617) 355-4831.

Voluntary or Charitable with taxonomy code 251V00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to verify.