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PELHAM ACADEMY
NPI 1760719553
Residential Treatment Facility, Emotionally Disturbed Children in Lexington, MA

Active since November 16, 2009CLIA 22D1068004 · Waiver
13 PELHAM RD, LEXINGTON, MA 02421(781) 274-6800(781) 274-0900 Get Directions Write a Review

NPPES record last updated: November 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pelham Academy NPPES

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

PELHAM ACADEMY (NPI 1760719553) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Lexington, Massachusetts and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Abigail Ortiz, Youth Mentor, as its authorized official.

NPPES Registry Identity

NPI1760719553
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePELHAM ACADEMY
Location Address13 PELHAM RDLexington, MA 02421-5707
Mailing Address13 Pelham RoadLexington, MA 02421 · (781) 274-6800 · Fax (781) 274-0900
Phone(781) 274-6800
Fax(781) 274-0900
Organization SubpartYesParent: Justice Resource Institute
Authorized OfficialAbigail OrtizYouth Mentor · (781) 274-6800
Enumeration DateNovember 16, 2009
✔ NPI 1760719553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
13 PELHAM RD, Lexington, MA 02421
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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 22D1068004

Pelham Academy · Lexington, MA
Active · expires Apr 30, 2027
CLIA Number22D1068004
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorShelli Thayer
Laboratory Phone(781) 274-6800
Laboratory LocationPelham Academy13 Pelham Road, Lexington, MA 02421
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 17

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

JULIE A CUMMINS
Counselor (Mental Health)
13 PELHAM RD
LEXINGTON, MA 02421
Middlesex County (781) 274-6800
STEVEN GINTZ MA
Residential Treatment Facility, Emotionally Disturbed Children
13 PELHAM RD
LEXINGTON, MA 02421
Middlesex County (781) 274-6800
LUISA IBNER
Counselor (Mental Health)
13 PELHAM RD
LEXINGTON, MA 02421
Middlesex County (781) 274-6800
MISS MIKAELA KIMBERLY ARMY MSW
Social Worker
13 PELHAM RD
LEXINGTON, MA 02421
Middlesex County (603) 686-1811
HEIDI CRAMPTON
Counselor (Mental Health)
13 PELHAM RD
LEXINGTON, MA 02421
Middlesex County (781) 274-6800
DANIELLE IRENE BERGERON
Social Worker (Clinical)
13 PELHAM RD
LEXINGTON, MA 02421
Middlesex County (781) 274-6800
MS. AMBER SARPY
Psychologist (Counseling)
13 PELHAM RD
LEXINGTON, MA 02421
Middlesex County (781) 274-6800
NAOMI KARP
Student in an Organized Health Care Education/Training Program
13 PELHAM RD
LEXINGTON, MA 02421
Middlesex County (781) 274-6800

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 Pelham Academy's NPI number?

The NPI number for Pelham Academy is 1760719553. It was assigned to this organization in the NPPES registry on November 16, 2009.

Where is Pelham Academy located?

Pelham Academy is located at 13 Pelham Rd, Lexington, MA 02421. The listed phone number is (781) 274-6800.

What is Pelham Academy's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Does Pelham Academy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D1068004) is associated with this NPI, valid through April 30, 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 Pelham Academy was last updated on November 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.