OrganizationActive
Commonwealth of Masschusetts
NPI 1710004858 · Case Management Agency · Cambridge, MA
Commonwealth of Masschusetts is a Case Management Agency organization in Cambridge, MA (NPI 1710004858).
Provider details
- NPI number
- 1710004858
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tina Licciardello, Site Director(617) 626-4800
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
2400 Massachusetts Ave
Cambridge, MA 02140-1854
Phone: (617) 626-4800
Fax: (617) 497-6128
Street-level locationGet directions
Mailing address
2400 Massachusetts Ave
Cambridge, MA 02140-1854
Other names (DBA / former)
- Doing business as
- Department of Mental Health - Cambridge Somerville Office
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Commonwealth of Masschusetts's NPI number?
- Commonwealth of Masschusetts's National Provider Identifier (NPI) is 1710004858, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Commonwealth of Masschusetts?
- Commonwealth of Masschusetts is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Commonwealth of Masschusetts located?
- Commonwealth of Masschusetts's practice location on file with NPPES is 2400 Massachusetts Ave, Cambridge, MA 02140-1854.
- What is Commonwealth of Masschusetts's phone number?
- The practice phone number listed in the NPPES registry for Commonwealth of Masschusetts is (617) 626-4800.
- Who is the authorized official for Commonwealth of Masschusetts?
- The authorized official listed on Commonwealth of Masschusetts's NPPES record is Tina Licciardello, Site Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Commonwealth of Masschusetts's NPI active?
- Yes — Commonwealth of Masschusetts's NPI (1710004858) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.