COMMUNITY HEALTH LINK


Address: 72 Jaques Ave, Worcester, MA 01610-2476
Phone: 5084385578

COMMUNITY HEALTH LINK (NPI# 1023362936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023362936
Entity Type Organization
Organization Name COMMUNITY HEALTH LINK
Practice Address 72 Jaques Ave
Worcester
MA 01610-2476
Practice Telephone 5084385578
Practice Fax Number 5088601023
Mailing Telephone 5084385578
Mailing Fax Number 5088601023
Enumeration Date 2012-10-30
Last Update Date 2012-10-30
Authorized Official Name DONALD L SMITH (OPERATIONS/COMPLIANCE MANAGER)
Authorized Official Telephone 5084385578
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
116662 MA Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093090672 Community Health Link Community/Behavioral Health 100 Erdman Way, Leominster, MA 01453-1804 2011-10-14
1538302559 Community Health Link Community/Behavioral Health 100 Erdman Way, Leominster, MA 01453-1804 2009-04-07
1104070564 Community Health Link Clinic/Center 72 Jacques Ave, Worcester, MA 01610-2476 2008-11-12
1548447204 Community Health Link Early Intervention Provider Agency 100 Erdman Way, Leominster, MA 01453-1804 2008-01-24
1134279623 Community Health Link Marriage & Family Therapist 275 Belmont St, Worcester, MA 01604-1675 2007-01-10
1437267671 Community Health Link Nursing Care 9 Maple St, Sturbridge, MA 01566 2006-08-28

Office Location

Street Address 72 JAQUES AVE
City WORCESTER
State MA
Zip Code 01610-2476

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104898147 Jordan A Oshlag Social Worker 72 Jaques Ave, Worcester, MA 01610-2476 2006-02-03
1811555873 Victoria Leigh Lenihan Registered Nurse 72 Jaques Ave, Worcester, MA 01610-2476 2019-06-04
1386209880 Rebecca Mauricio Counselor 72 Jaques Ave, Worcester, MA 01610-2476 2019-05-09
1336602077 Cathy A Foulkrod-pickett Social Worker 72 Jaques Ave, Worcester, MA 01610-2476 2019-04-10
1639633530 Yui Kitayama Nurse Practitioner 72 Jaques Ave, Worcester, MA 01610-2476 2019-01-24
1477061521 Kelley Guilfoil-zinkevich Social Worker 72 Jaques Ave, Worcester, MA 01610-2476 2018-01-10
1295240117 Phillip Hodson Counselor 72 Jaques Ave, Worcester, MA 01610-2476 2017-12-14
1063923266 Shanique Boykin Social Worker 72 Jaques Ave, Worcester, MA 01610-2476 2017-10-16
1053821744 Kaden Trifilio Social Worker 72 Jaques Ave, Worcester, MA 01610-2476 2017-10-07
1255859559 Katie Duclos-zagame Social Worker 72 Jaques Ave, Worcester, MA 01610-2476 2017-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881189355 Amber Hall Counselor 26 Queen St, 6th Floor, Worcester, MA 01610 2018-06-27
1417401951 Kelsey Moran Counselor 1 College Street, Box D, Worcester, MA 01610 2016-08-13
1245685809 Walter Trisdale Specialist/Technologist One College St., College of The Holy Cross, Worcester, MA 01610 2016-05-02
1669866430 Shannon Smith Student in an Organized Health Care Education/Training Program 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 2015-03-19
1063815348 Terri Boettcher Social Worker 72 Jacques Street, Worcester, MA 01610 2014-10-01
1700222866 Kalynn Lucashensky Occupational Therapist 105 Woodland St. Apt. A, Worcester, MA 01610 2013-05-16
1093053993 Chrissy Marie Ryan Registered Nurse 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 2013-01-28
1851681324 Renaissance Adult Day Care, LLC Clinic/Center 1040 Southbridge Street, Worcester, MA 01610 2011-04-18
1912203217 Goddard/homestead Custodial Care Facility 10 Homestead Avenue, Worcester, MA 01610 2011-02-03
1912173196 Rahman Ullah Dentist Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 2008-05-07
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578111530 Mass Counseling Center, Inc Clinic/Center 100 Grove St Ste 301, Worcester, MA 01605-2630 2019-09-03
1689158545 Ysabel Gomez Clinical Services LLC Clinic/Center 90 Madison St Fl 3, Worcester, MA 01608-2058 2018-09-17
1346297504 Children's Friend, Inc. Clinic/Center 20 Cedar St, Worcester, MA 01609-2520 2006-05-30
1356955389 Rachel Quirbach Clinic/Center 335 Chandler St, Worcester, MA 01602-3441 2020-09-08
1306408638 Behavioral and Mental Health of Central Mass Inc. Clinic/Center 255 Park Ave Ste 500, Worcester, MA 01609-1989 2019-07-08
1932574001 Hri Clinics Inc Clinic/Center 411 Chandler St, Worcester, MA 01602-3339 2015-12-01
1518249978 You, Inc Clinic/Center 81 Plantation St, Worcester, MA 01604-3069 2011-09-12
1316255193 You, Inc. Clinic/Center 81 Plantation St, Worcester, MA 01604-3069 2010-09-15
1326204751 Mspcc Clinic/Center 335 Chandler St, Worcester, MA 01602-3441 2008-08-05
1740467471 Jewish Family Service of Worcester, Inc. Clinic/Center 646 Salisbury St, Worcester, MA 01609-1121 2008-01-24
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Competitor

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City WORCESTER
Zip Code 01610

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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