RIVERSIDE COMMUNITY CARE (NPI# 1174907000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174907000 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE COMMUNITY CARE |
| Practice Address |
12 Tyler St Somerville MA 02143-3241 |
| Practice Telephone | 7813640940 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | JACQUELINE MARIE FICKES (INTENSIVE CARE COORDINATOR) |
| Authorized Official Telephone | 7813640940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538591573 | Riverside Community Care | Community/Behavioral Health | 5 Riverhurst Road Apartment 516, Billerica, MA 01821 | 2013-08-01 |
| 1902199805 | Riverside Community Care | Community/Behavioral Health | 34 Potter St, Pawtucket, RI 02860-4222 | 2011-05-25 |
| 1154563351 | Riverside Community Care | Community/Behavioral Health | 385 Grant St, Framingham, MA 01702-6578 | 2009-04-02 |
| 1942359674 | Riverside Community Care | Clinic/Center | 1244 Chestnut St, Na, Newton, MA 02464-1418 | 2007-01-10 |
| 1396275509 | Riverside Community Care | Home Health | 237 Highland Ave, Needham, MA 02494-3036 | 2017-06-20 |
| 1386195030 | Riverside Community Care | Community/Behavioral Health | 270 Bridge St, Suite 301, Dedham, MA 02026-1798 | 2016-10-18 |
| 1376951103 | Riverside Community Care | Home Health | 237 Highland Ave, Needham, MA 02494-3036 | 2014-07-24 |
| 1598170144 | Riverside Community Care | Community/Behavioral Health | 338 Main St, Suite 301, Wakefield, MA 01880-5042 | 2014-06-23 |
| 1801220223 | Riverside Community Care | Community/Behavioral Health | 237 Highland Ave, Needham, MA 02494-3036 | 2013-08-22 |
| 1073950630 | Riverside Community Care | In Home Supportive Care | 237 Highland Ave, Needham, MA 02494-3036 | 2013-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIVERSIDE COMMUNITY CARE | 270 Bridge St Ste 301, Dedham, MA 02026-1798 |
| New York State Corporations | RIVERSIDE COMMUNITY CARE, INC. | 270 Bridge Street Suite 301, Dedham, Massachusetts 02026 |
| Street Address |
12 TYLER ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144375676 | Anna L Tarkoff | Social Worker | 12 Tyler St, Somerville, MA 02143-3241 | 2007-01-24 |
| 1285240705 | Joelle Elian Anter | Counselor | 12 Tyler St, Somerville, MA 02143-3241 | 2020-09-21 |
| 1699308007 | Elizabeth Wilcosky Lee | Developmental Therapist | 12 Tyler St, Somerville, MA 02143-3241 | 2020-02-14 |
| 1114564770 | Colleen Lavorato | Community Health Worker | 12 Tyler St, Somerville, MA 02143-3241 | 2019-12-03 |
| 1740840321 | Schyler Murray | Social Worker | 12 Tyler St, Somerville, MA 02143-3241 | 2019-06-17 |
| 1346805801 | Gilad Amshalom | Counselor | 12 Tyler St, Somerville, MA 02143-3241 | 2019-05-09 |
| 1174085369 | Niva Belinkov | Counselor | 12 Tyler St, Somerville, MA 02143-3241 | 2019-04-05 |
| 1417421587 | Erin Michelle Barcellos | Counselor | 12 Tyler St, Somerville, MA 02143-3241 | 2019-01-11 |
| 1619441797 | Debbie Osborn | Counselor | 12 Tyler St, Somerville, MA 02143-3241 | 2019-01-11 |
| 1174090898 | Ana C Layrisse | Developmental Therapist | 12 Tyler St, Somerville, MA 02143-3241 | 2018-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463811 | Clear Minded Care, Pllc | Community/Behavioral Health | 519 Somerville Ave # 291, Somerville, MA 02143-3347 | 2020-10-08 |
| 1144701608 | Angela Calvey | Community/Behavioral Health | 148 Powder House Blvd, Somerville, MA 02144-1624 | 2018-08-23 |
| 1538679501 | Erin Leigh Monna | Community/Behavioral Health | 379 Broadway Apt 57, Somerville, MA 02145-1525 | 2017-10-04 |
| 1275052748 | Alternatives, Inc. | Community/Behavioral Health | 79 E Cliff St, Somerville, NJ 08876-1908 | 2017-09-15 |
| 1366961294 | Alternatives, Inc. | Community/Behavioral Health | 75 E Cliff St, Somerville, NJ 08876-1908 | 2017-09-12 |
| 1699294546 | Alternatives, Inc. | Community/Behavioral Health | 58 N Doughty Ave, Somerville, NJ 08876-1820 | 2017-09-12 |
| 1831618750 | Alternatives, Inc. | Community/Behavioral Health | 180 Mercer St Apt 8a, Somerville, NJ 08876-1554 | 2017-09-12 |
| 1912425182 | Alternatvies, Inc. | Community/Behavioral Health | 25 Division St Apt 3, Somerville, NJ 08876-2901 | 2017-09-07 |
| 1649719964 | Alternatives, Inc. | Community/Behavioral Health | 85-87 Fairview Ave., Somerville, NJ 08876 | 2017-02-20 |
| 1043626393 | Tennessee Community & Court Services Inc | Community/Behavioral Health | 13060 N Main St, Somerville, TN 38068-1421 | 2014-07-08 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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| 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.