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MASSACHUSETTS GENERAL HOSPITAL REVERE HEALTHCARE CENTER
NPI 1871715151
Clinic/Center - Mental Health (Including Community Mental Health Center) in Revere, MA

Active since May 03, 2007
300 OCEAN AVE, REVERE, MA 02151(617) 510-9458(781) 485-6119 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Massachusetts General Hospital Revere Healthcare Center NPPES

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

MASSACHUSETTS GENERAL HOSPITAL REVERE HEALTHCARE CENTER (NPI 1871715151) is a healthcare organization registered as a mental health (including community mental health center) in Revere, Massachusetts and active in the NPI registry since May 2007. The organization lists Marykate P Shorter, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1871715151
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMASSACHUSETTS GENERAL HOSPITAL REVERE HEALTHCARE CENTER
Location Address300 OCEAN AVERevere, MA 02151-3675
Mailing Address416 Marlborough St, #708Boston, MA 02115-1544 · (617) 510-9458 · Fax (781) 485-6119
Phone(617) 510-9458
Fax(781) 485-6119
Organization SubpartNo
Authorized OfficialMarykate P ShorterSocial Worker · (781) 485-6112
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871715151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in MA · 111447
300 OCEAN AVE, Revere, MA 02151
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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.

MS. STACIE ANN HOBAN MS, CCC-SLP
Speech-Language Pathologist
300 OCEAN AVE, SPEECH AND LANGUAGE
REVERE, MA 02151
Suffolk County (781) 485-6131
DANYA HANDELSMAN
Student in an Organized Health Care Education/Training Program
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6000
MS. EMILY J WILCOX NP
Nurse Practitioner (Pediatrics)
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6000
CECILIA JIANG
Physical Therapist
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6234
ELLEN TIGHE VENTOLA MS,PT,OCS
Specialist
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6222
EMILY CARUSO MACINTYRE CPNP
Nurse Practitioner (Pediatrics)
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6024
DR. JOSEPH MICHAEL CZUPRYNA DPT
Physical Therapist
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (781) 485-6000
JESSICA BRYSKI
Student in an Organized Health Care Education/Training Program
300 OCEAN AVE
REVERE, MA 02151
Suffolk County (307) 399-0688

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 Massachusetts General Hospital Revere Healthcare Center's NPI number?

The NPI number for Massachusetts General Hospital Revere Healthcare Center is 1871715151. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Massachusetts General Hospital Revere Healthcare Center located?

Massachusetts General Hospital Revere Healthcare Center is located at 300 Ocean Ave, Revere, MA 02151. The listed phone number is (617) 510-9458.

What is Massachusetts General Hospital Revere Healthcare Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Massachusetts General Hospital Revere Healthcare Center 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.