| Whittier Street Health Center Behavioral Health | |
| 
					1290 Tremont St Roxbury Crossing MA 02120-3432  | |
| (617) 427-1000 | |
| (617) 858-2674 | 
| Full Name | Whittier Street Health Center Behavioral Health | 
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) | 
| Location | 1290 Tremont St, Roxbury Crossing, Massachusetts | 
| Authorized Official Name and Position | Jane Brodie (VICE PRESIDENT BEHAVIORAL HEALTH) | 
| Authorized Official Contact | 6179893077 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Whittier Street Health Center Behavioral Health 1290 Tremont St Roxbury Crossing MA 02120-3432 Ph: (617) 427-1000  | Whittier Street Health Center Behavioral Health 1290 Tremont St Roxbury Crossing MA 02120-3432 Ph: (617) 427-1000  | 
| NPI Number | 1699956714 | 
|---|---|
| Provider Enumeration Date | 11/16/2007 | 
| Last Update Date | 06/30/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699956714 | NPI | - | NPPES | 
| Y55112 | Other | MA | MEDICARE PART B CARRIER | 
| 1399578 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4144 (Massachusetts) | Primary | 
Family Intervention Team Fit Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1534 Tremont St, Roxbury Crossing, MA 02120 Phone: 781-330-9357  | |
Amin F. Sabra, M.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Parker Hill Ave, Roxbury Crossing, MA 02120 Phone: 617-738-4730  |