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PINE STREET INN AT SHATTUCK
NPI 1962645572
Clinic/Center - Federally Qualified Health Center (FQHC) in Jamaica Plain, MA

Active since April 13, 2009
170 MORTON ST, JAMAICA PLAIN, MA 02130(617) 983-0351(617) 971-3121 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pine Street Inn At Shattuck NPPES

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

PINE STREET INN AT SHATTUCK (NPI 1962645572) is a healthcare organization registered as a federally qualified health center (fqhc) in Jamaica Plain, Massachusetts and active in the NPI registry since April 2009. The organization lists Agnes W Leung, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1962645572
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.
Location Address170 MORTON STJamaica Plain, MA 02130
Mailing Address780 Albany StBoston, MA 02118-2755 · (857) 654-1227 · Fax (857) 654-1404
Phone(617) 983-0351
Fax(617) 971-3121
Organization SubpartNo
Authorized OfficialAgnes W LeungChief Financial Officer · (857) 654-1200
Enumeration DateApril 13, 2009
Last NPPES UpdateMay 23, 2018
✔ NPI 1962645572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in MA · 4LQX
170 MORTON ST, Jamaica Plain, MA 02130
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Other Names 1

Other NamePine Street Inn At Shattuck

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 Boston Health Care For The Homeless Program, Inc.'s NPI number?

The NPI number for Boston Health Care For The Homeless Program, Inc. is 1962645572. It was assigned to this organization in the NPPES registry on April 13, 2009. The provider is also known as Pine Street Inn At Shattuck.

Where is Boston Health Care For The Homeless Program, Inc. located?

Boston Health Care For The Homeless Program, Inc. is located at 170 Morton St, Jamaica Plain, MA 02130. The listed phone number is (617) 983-0351.

What is Boston Health Care For The Homeless Program, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Boston Health Care For The Homeless Program, Inc. was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.