OrganizationActive
Massachusetts General Hospital Revere Healthcare Center
NPI 1871715151 · Mental Health Clinic/Center (Including Community Mental Health Center) · Revere, MA
Provider details
- NPI number
- 1871715151
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marykate Shorter, Social Worker(781) 485-6112
- License
- 111447 (MA)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 111447 (MA)
Ambulatory Health Care Facilities
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
300 Ocean Ave
Revere, MA 02151-3675
Phone: (617) 510-9458
Fax: (781) 485-6119
Street-level locationGet directions
Mailing address
416 Marlborough St
Boston, MA 02115-1544
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 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.