THE COMMONWEALTH OF MASSACHUSETTS (NPI# 1275680456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275680456 |
| Entity Type | Organization |
| Organization Name | THE COMMONWEALTH OF MASSACHUSETTS |
| Other Organization Name | WORCESTER RECOVERY CENTER & HOSPITAL GROUP PRACTICE |
| Practice Address |
309 Belmont St Worcester MA 01604-1695 |
| Practice Telephone | 5083684000 |
| Practice Fax Number | 5083681502 |
| Mailing Telephone | 5083684000 |
| Mailing Fax Number | 5083681502 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-02-14 |
| Authorized Official Name | MR. ANTHONY J RICCITELLI (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5083683461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Worcester Recovery Center & Hospital group practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326155458 | The Commonwealth of Massachusetts | Pharmacy | 165 Quincy St, Brockton, MA 02302-2988 | 2006-08-24 |
| 1407884059 | The Commonwealth of Massachusetts | Psychiatric Hospital | 460 Quincy Ave, Quincy, MA 02169-8130 | 2006-06-30 |
| 1881231181 | The Commonwealth of Massachusetts | Public Health or Welfare | 305 South Street, Jamaica Plain, MA 02130-3515 | 2019-12-05 |
| 1730656760 | The Commonwealth of Massachusetts | Psychiatric Hospital | 309 Belmont St, Worcester, MA 01604-1059 | 2018-10-29 |
| 1750868600 | The Commonwealth of Massachusetts | Public Health or Welfare | 600 Washington St, Boston, MA 02111-1704 | 2018-07-24 |
| 1346369691 | The Commonwealth of Massachusetts | Case Management | 181 North St, Hyannis, MA 02601-3846 | 2007-03-28 |
| 1568587913 | The Commonwealth of Massachusetts | Clinic/Center | 20 Vining St, Boston, MA 02115-6115 | 2007-03-21 |
| 1073638805 | The Commonwealth of Massachusetts | Clinic/Center | 180 Morton St, Jamaica Plain, MA 02130-3735 | 2007-03-20 |
| 1285759464 | The Commonwealth of Massachusetts | Psychiatric Unit | 85 E Newton St, Boston, MA 02118-2340 | 2007-03-20 |
| 1093856965 | The Commonwealth of Massachusetts | Public Health or Welfare | 305 South Street, Massachusetts Department of Public Health-immunization, Jamaica Plain, MA 02130 | 2007-02-12 |
| Street Address |
309 BELMONT ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770542680 | Lori Ann Keough | Nurse Practitioner | 309 Belmont St, Worcester, MA 01604-1059 | 2006-03-20 |
| 1730656760 | The Commonwealth of Massachusetts | Psychiatric Hospital | 309 Belmont St, Worcester, MA 01604-1059 | 2018-10-29 |
| 1043795792 | Dana Lynn Mcmannus | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-09-28 |
| 1790268407 | Jacqueline Ducharme | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-09-09 |
| 1154803153 | Regina Elaine Amorello | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-09-05 |
| 1649752288 | Elizabeth Gale-bentz | Student in an Organized Health Care Education/Training Program | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-30 |
| 1538640917 | Alexander Wilkins | Student in an Organized Health Care Education/Training Program | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-23 |
| 1225519812 | Claire Nicole Bryson | Student in an Organized Health Care Education/Training Program | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-22 |
| 1265912547 | Alexandra Doucette | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-16 |
| 1346727583 | Jane Ellen Malkiewich | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
| 1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
| 1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
| 1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
| Find all providers in zip 01604 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013108869 | Irene C Coletsos | Psychiatry & Neurology | 12 Queen St, Worcester, MA 01610-2411 | 2007-08-07 |
| 1699807651 | Robert Caper | Psychiatry & Neurology | 195 Calais Rd, Worcester, VT 05682-9799 | 2007-03-12 |
| 1336202423 | Ruth Westheimer | Psychiatry & Neurology | 10 Rutland Ter, Worcester, MA 01609-1664 | 2006-12-19 |
| 1811058514 | John J Szlyk | Psychiatry & Neurology | Umum Provident, 18 Chestnut Street, Worcester, MA 01603 | 2006-12-13 |
| 1548278898 | Hernando Romero | Psychiatry & Neurology | 30 Edward St, Worcester, MA 01605-2946 | 2006-08-03 |
| 1629098496 | Mohamad R. Och | Psychiatry & Neurology | 425 Lake Ave N Ste 101, Worcester, MA 01605-2047 | 2006-07-21 |
| 1922033919 | Schahram Akbarian | Psychiatry & Neurology | Umms-psychiatry Bnr1, 303 Belmont Street, Worcester, MA 01613 | 2006-07-11 |
| 1114951076 | John Frederick Meyers | Psychiatry & Neurology | 189 May St., Fairlawn Rehab Hosp, Worcester, MA 01602 | 2006-07-10 |
| 1033156609 | Sarah S Spratt | Psychiatry & Neurology | 305 Belmont St, Worcester State Hospital, Worcester, MA 01604-1681 | 2006-06-01 |
| 1295782928 | Judith Eaton | Psychiatry & Neurology | 30 Sever St, Worcester, MA 01609-2194 | 2006-05-28 |
| Find all providers in WORCESTER | ||||
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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.