Provider Demographics
NPI:1639107717
Name:THE LEARNING CENTER FOR THE DEAF, INC.
Entity Type:Organization
Organization Name:THE LEARNING CENTER FOR THE DEAF, INC.
Other - Org Name:THE LEARNING CENTER FOR DEAF CHILDREN
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GLENN-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, PHD
Authorized Official - Phone:508-879-5110
Mailing Address - Street 1:848 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4815
Mailing Address - Country:US
Mailing Address - Phone:508-879-5110
Mailing Address - Fax:
Practice Address - Street 1:848 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4815
Practice Address - Country:US
Practice Address - Phone:508-879-5110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA602455OtherHARVARD PILGRIM HEALTH PL
MA1301713Medicaid
MA617930OtherTUFTS HEALTH PLAN
MAAG0010OtherBLUE CROSS BLUE SHIELD
MA602455OtherHARVARD PILGRIM HEALTH PL