COMMUNITY HEALTHLINK INC (NPI# 1649293028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649293028 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHLINK INC |
| Practice Address |
12 Queen Street Worcester MA 01610 |
| Mailing Address |
72 Jaques Ave Worcester MA 01610-2476 |
| Practice Telephone | 5088601260 |
| Practice Fax Number | 5088601115 |
| Mailing Telephone | 5088601163 |
| Mailing Fax Number | 5088601115 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-10-25 |
| Authorized Official Name | MR. JORDAN A. OSHLAG (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 5088601163 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
4684 | MA | Ambulatory Health Care Facilities |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 2R006 | MA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 0110 | MA | Residential Treatment Facilities |
| N | 251S00000X | Community/Behavioral Health | 4684 | MA | Agencies |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
4684 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1303007 | 05 | |
| MA | 1308076 | 05 | |
| MA | 1307002 | 05 | |
| MA | 1308742 | 05 |
| Street Address |
12 QUEEN STREET |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811042153 | Community Healthlink, Inc | Clinic/Center | 12 Queen Street, Worcester, MA 01610 | 2007-01-25 |
| 1801805643 | Jacques Lucien Trudel | Counselor | 12 Queen Street, Worcester, MA 01610 | 2006-08-07 |
| 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 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| 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 |
| 1023362936 | Community Health Link | Clinic/Center | 72 Jaques Ave, Worcester, MA 01610-2476 | 2012-10-30 |
| 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 |
| 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.