OrganizationActive
Commonwealth of Mass-Dds
NPI 1215068408 · Case Management Agency · Hyde Park, MA
Provider details
- NPI number
- 1215068408
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jeanette Maillet, Chief Financial Officer(617) 727-5608
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
65 Sprague St
Hyde Park, MA 02136-2061
Phone: (617) 360-2400
Street-level locationGet directions
Mailing address
500 Harrison Ave
Boston, MA 02118-2439
Other names (DBA / former)
- Doing business as
- Gba Harbor Area Office
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2009-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.