Codman Square Health Center is a Community Health Clinic/Center (organization) practicing in Randolph, Massachusetts. The National Provider Identifier (NPI) is #1003770736, which was assigned on December 16, 2025, and the registration record was last updated on December 16, 2025. The practitioner's main practice location is at 42 Highland Avenue, Randolph, MA 02368-0000; the contact telephone number is 6178259660, and the fax number is 6172887898. The primary taxonomy of Codman Square Health Center is Community Health Clinic/Center (261QC1500X), with specialization in Community Health. The authorized official for Codman Square Health Center is Guy Fish (Ceo).
| NPI | 1003770736 |
| Entity Type | Organization |
| Organization Name | CODMAN SQUARE HEALTH CENTER |
| Provider Name | CODMAN SQUARE HEALTH CENTER |
| Practice Address |
42 Highland Avenue Randolph MA 02368-0000 |
| Practice Telephone | 6178259660 |
| Practice Fax Number | 6172887898 |
| Mailing Address |
637 Washington St Dorchester MA 02124-3510 |
| Mailing Telephone | 6178259660 |
| Mailing Fax Number | 6172887898 |
| Certification Date | 2025-12-15 |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |
| Is Organization Subpart | N |
| Official Name | GUY FISH |
| Official Title | CEO |
| Telephone | 6178259660 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 261QC1500X | Clinic/Center | Community Health |
| Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Grouping | Ambulatory Health Care Facilities |
| Definition: Definition to come... |
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| Street Address |
42 HIGHLAND AVENUE |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-0000 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Michael Thomas Quinn | 14 Pacella Park Dr., May Institute, Randolph, MA 02368-0000 | Mental Health Counselor | 2013-08-13 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Katie Nguyen | 44 Diauto Drive, Randolph, MA 02368 | Student in an Organized Health Care Education/Training Program | 2016-08-28 |
| Chika Patience Okerekw-Nwankwo | 22 Marion Street, Randolph, MA 02368 | Adult Care Home Facility | 2015-02-16 |
| Randolph Smiles LLC | 56 South Main Street, Randolph, MA 02368 | Dentist | 2016-11-08 |
| Ashley Lauren Davis | 11 Mcdonnell Drive, Randolph, MA 02368 | Licensed Practical Nurse | 2018-07-11 |
| Julie A Panchamsingh-Barakat · Julie A Ali | 400-, 402 N Main St, Randolph, MA 02368 | Clinical Social Worker | 2016-06-08 |
| Daniel Joseph Bellistri | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | Clinical Social Worker | 2019-04-26 |
| Mara E Power | 41 Pacella Park Drive, Randolph, MA 02368 | Behavior Technician | 2024-05-23 |
| Codman Eye Care Affiliates -South Shore Inc | 9 Warren St, Randolph, MA 02368 | Optometrist | 2018-05-08 |
| Heavenly Home Care | 9 William Morrison Drive, Randolph, MA 02368 | Home Health Agency | 2016-02-24 |
| Breanne Brown | Po Box 1139, Randolph, MA 02368 | Doula | 2025-09-30 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |