CLEARBROOK TREATMENT CENTER MASSACHUSETTS LLC (NPI# 1558986927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558986927 |
| Entity Type | Organization |
| Organization Name | CLEARBROOK TREATMENT CENTER MASSACHUSETTS LLC |
| Practice Address |
83 Hospital Rd Baldwinville MA 01436-1215 |
| Mailing Address |
950 N Federal Hwy Ste 115 Pompano Beach FL 33062-4314 |
| Practice Telephone | 9545337705 |
| Practice Fax Number | 9545337717 |
| Mailing Telephone | 9545337705 |
| Mailing Fax Number | 9545337717 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | ERIN KENNEDY (CRO) |
| Authorized Official Telephone | 9545337705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
83 HOSPITAL RD |
| City | BALDWINVILLE |
| State | MA |
| Zip Code | 01436-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265420186 | Nicole Duane | Nurse Practitioner | 83 Hospital Rd, Baldwinville, MA 01436-1215 | 2005-10-13 |
| 1073009833 | Kristen Ingrid Larsen | Registered Nurse | 83 Hospital Rd, Baldwinville, MA 01436-1248 | 2018-07-05 |
| 1669968368 | Lisy D Veliz | Registered Nurse | 83 Hospital Rd, Baldwinville, MA 01436-1215 | 2018-07-05 |
| 1548762149 | Toni Annette Diaz | Behavior Technician | 83 Hospital Rd, Baldwinville, MA 01436-1215 | 2018-02-28 |
| 1427507565 | Ruth Rodriguez | Counselor | 83 Hospital Rd, Baldwinville, MA 01436-1215 | 2016-09-30 |
| 1326596198 | Melissa Dawson | Marriage & Family Therapist | 83 Hospital Rd, Baldwinville, MA 01436-1215 | 2016-09-21 |
| 1609324565 | Amy Cooper | Social Worker | 83 Hospital Rd, Baldwinville, MA 01436-1215 | 2016-09-20 |
| 1831646231 | Henrique Deoliveira | Counselor | 83 Hospital Rd, Baldwinville, MA 01436-1215 | 2016-09-02 |
| 1255885596 | Courtney Graves | Counselor | 83 Hospital Rd, Baldwinville, MA 01436-1215 | 2016-08-03 |
| 1295188829 | Mallory Kirk | Social Worker | 83 Hospital Rd, Baldwinville, MA 01436-1215 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651247 | Stacey Lynn Sparks | Counselor | 12 Fern Street, Baldwinville, MA 01436 | 2018-03-07 |
| 1164923421 | Janet Alice Johnson | Community Health Worker | 23 State Road, Baldwinville, MA 01436 | 2018-02-22 |
| 1194241513 | Samuel Andrew Sjostedt | Counselor | 18 Shaw Road, Baldwinville, MA 01436 | 2017-08-17 |
| 1508169830 | Trustees of Tufts University | Clinic/Center | 212 Freight Shed Road, Baldwinville, MA 01436 | 2010-12-08 |
| 1730498965 | Jessica Lyn Blanding | Counselor | 184 Freight Shed Rd, Baldwinville, MA 01436 | 2010-10-05 |
| 1437322740 | Hearthside Elderhomes, LLC | Assisted Living Facility | 676 Baldwinville Road, Baldwinville, MA 01436 | 2008-04-08 |
| 1952526691 | Synaptic Chiropractic Center | Chiropractor | 630 Baldwinville Rd., Baldwinville, MA 01436 | 2007-04-16 |
| 1477673689 | Todd G Mexico | Chiropractor | 630 Baldwinville Road., Baldwinville, MA 01436 | 2007-03-30 |
| 1942535653 | Kelly Clow | Registered Nurse | 570 Baldwinville Rd, Baldwinville, MA 01436 | 2009-10-14 |
| 1730307513 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | 212 Freight Shed Rd, Templeton Dev Cntr, Baldwinville, MA 01436 | 2007-04-24 |
| Find all providers in zip 01436 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874514 | Compass Recovery, LLC | Substance Abuse Rehabilitation Facility | 128 Meadow Rd, Longmeadow, MA 01106-3055 | 2020-09-07 |
| 1831708726 | Topsail Addiction Treatment, Inc. | Substance Abuse Rehabilitation Facility | 140 Haverhill St Ste 8, Andover, MA 01810-1504 | 2020-07-27 |
| 1700404464 | Aware Recovery Care of Massachusetts, LLC | Substance Abuse Rehabilitation Facility | 9 Damonmill Sq Ste 105, Concord, MA 01742-2858 | 2020-07-09 |
| 1679190748 | Baystate Recovery Services LLC | Substance Abuse Rehabilitation Facility | 950 Cummings Ctr Ste 106x, Beverly, MA 01915-6274 | 2020-07-06 |
| 1992331821 | Metanoia Recovery, LLC | Substance Abuse Rehabilitation Facility | 55 Concord St, North Reading, MA 01864-2640 | 2020-03-23 |
| 1205462124 | Rockland Recovery Treatment Centers, LLC | Substance Abuse Rehabilitation Facility | 884 Washington St Ste 100, Weymouth, MA 02189-1530 | 2020-03-23 |
| 1679055347 | The Coleman Institute of America, LLC | Substance Abuse Rehabilitation Facility | 30 Washington St Ste 300, Wellesley Hills, MA 02481-1935 | 2018-08-30 |
| 1992205207 | New England Aftercare Ministries, Inc. | Substance Abuse Rehabilitation Facility | 18 Summit St, Framingham, MA 01702-7363 | 2018-02-14 |
| 1316446297 | Hurley House, Inc. | Substance Abuse Rehabilitation Facility | 12 Lowell St, Waltham, MA 02453-5254 | 2018-02-07 |
| 1356865448 | Sober 4 Life Inc. | Substance Abuse Rehabilitation Facility | 244 County St, Attleboro, MA 02703-3501 | 2017-07-31 |
| Find all providers with the same taxonomy | ||||
| City | BALDWINVILLE |
| Zip Code | 01436 |
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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.