CITYWIDE BEHAVIORAL HEALTH INC – NPI #1487510830
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CITYWIDE BEHAVIORAL HEALTH INC is an AHC clinic located in HANOVER, MA. NPPES has assigned the NPI number 1487510830 to CITYWIDE BEHAVIORAL HEALTH INC on December 30, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CITYWIDE BEHAVIORAL HEALTH INC below.

NPI Profile for
CITYWIDE BEHAVIORAL HEALTH INC

NPI Number
1487510830
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CITYWIDE BEHAVIORAL HEALTH INC
Primary location
135 WEBSTER ST STE 1
HANOVER, MA 02339-1200
Phone: (781) 429-7755 Fax:
Mailing address
25 SIMPSON ST
NEWTON, MA 02458-2225
Phone: Fax:
Organization Subpart
No
Authorized Official
SLAVA ISMINTSEV
OWNER
Phone: (617) 699-5845
Updated
Certification Date
Dec 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.