Omar Thompson Oral Thompson
Clinic/Center (Adolescent and Children Mental Health)

Address: 20 Goodale Rd Apt 2, Boston, MA 02126-1788
Phone: 6177859459

Omar Thompson Oral Thompson (NPI# 1396381539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1396381539
Entity Type Organization
Practice Address 20 Goodale Rd Apt 2
MA 02126-1788
Practice Telephone 6177859459
Mailing Address 20 Goodale Rd Apt 2
MA 02126-1788
Mailing Telephone 6177859459
Authorized Official Name Omar Thompson (MENTOR)
Authorized Official Telephone 6177859459
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-11-22
Last Update Date 2019-11-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0855X Clinic/Center · Adolescent and Children Mental Health Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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Office Location

Street Address 20 GOODALE RD APT 2
State MA
Zip Code 02126-1788

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184280646 Covil Home Care LLC In Home Supportive Care 1549 Blue Hill Ave, Mattapan, MA 02126 2019-05-10
1902374069 Kasha Sarette Social Worker 37 Babson St, Mattapan, MA 02126 2018-11-07
1093231359 Danielle Christian Behavior Technician 73 Catbird Ct, Mattapan, MA 02126 2017-08-18
1609314681 Regis College Hospice, Inpatient 19 Southmere Road, Mattapan, MA 02126 2017-02-09
1437606001 Betsy-lynn Ngole Community Health Worker 137 Savannah Ave, Boston, MA 02126 2016-09-01
1437535440 Rosel Forwang Lewis Registered Nurse 42 Hallowell St, Mattapan, MA 02126 2015-08-03
1033596895 Quality Home Care & Transportation Transportation Broker 93 W Selden St, Mattapan, MA 02126 2015-04-30
1205101565 Clayton Mark Sandiford Contractor 22 Banfield Ave, Boston, MA 02126 2012-03-19
1790093128 Richard Christopher Mitchell Jr. Counselor 32 Wellington Hill St, Mattapan, MA 02126 2010-09-20
1972630622 Gemima St. Louis Psychologist 255 River St, Spark Center-bmc, Mattapan, MA 02126 2007-02-28
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Zip Code 02126

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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