OrganizationActive
Citywide Behavioral Health Inc
NPI 1487510830 · Clinic/Center · Hanover, MA
Provider details
- NPI number
- 1487510830
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Slava Ismintsev, Owner(617) 699-5845
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
135 Webster St Ste 1
Hanover, MA 02339-1200
Phone: (781) 429-7755
Street-level locationGet directions
Mailing address
25 Simpson St
Newton, MA 02458-2225
Registry dates
- Enumerated
- 2025-12-30
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.