FENWAY SOUTH END
NPI 1982995197
Clinic/Center - Community Health in Boston, MA

Active since April 21, 2011
142 BERKELEY ST, BOSTON, MA 02116(617) 247-7555 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fenway South End NPPES

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

FENWAY SOUTH END (NPI 1982995197) is a healthcare organization registered as a community health in Boston, Massachusetts and active in the NPI registry since April 2011. The organization lists Jeffrey M Lieberman, Vp Finance & Administration, as its authorized official.

NPPES Registry Identity

NPI1982995197
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameFENWAY COMMUNITY HEALTH CENTER, INC
Location Address142 BERKELEY STBoston, MA 02116-5100
Mailing Address1340 Boylston StBoston, MA 02215-4302 · (617) 927-6073 · Fax (617) 927-5410
Organization SubpartYes
Authorized OfficialJeffrey M LiebermanVp Finance & Administration · (617) 927-6173
Enumeration DateApril 21, 2011
Last NPPES UpdateJuly 8, 2011
NPI 1982995197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License Licensed in MA · 4519
142 BERKELEY ST, Boston, MA 02116

Other Names 1

Doing Business AsFenway South End

Other Identifiers 1

Medicaid110020739DMA

Other Providers at the Same Location NPPES 15

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

Counselor (Mental Health)
142 BERKELEY ST
BOSTON, MA 02116
Internal Medicine
142 BERKELEY ST
BOSTON, MA 02116
Pharmacy (Community/Retail Pharmacy)
142 BERKELEY ST
BOSTON, MA 02116
Social Worker (Clinical)
142 BERKELEY ST, FENWAY HEALTH SOUTH END
BOSTON, MA 02116
Family Medicine
142 BERKELEY ST
BOSTON, MA 02116
Physician Assistant
142 BERKELEY ST
BOSTON, MA 02116
Internal Medicine
142 BERKELEY ST
BOSTON, MA 02116
Social Worker (Clinical)
142 BERKELEY ST
BOSTON, MA 02116

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 Fenway Community Health Center, Inc's NPI number?

The NPI number for Fenway Community Health Center, Inc is 1982995197. It was assigned to this organization in the NPPES registry on April 21, 2011. The provider is doing business as Fenway South End.

Where is Fenway Community Health Center, Inc located?

Fenway Community Health Center, Inc is located at 142 Berkeley St, Boston, MA 02116. The listed phone number is (617) 247-7555.

What is Fenway Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Fenway Community Health Center, Inc was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.