MCAULEY NAZARETH HOME FOR BOYS, INC. (NPI# 1992368153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992368153 |
| Entity Type | Organization |
| Organization Name | MCAULEY NAZARETH HOME FOR BOYS, INC. |
| Other Organization Name | NAZARETH |
| Practice Address |
77 Mulberry St Leicester MA 01524-1011 |
| Practice Telephone | 5088924886 |
| Practice Fax Number | 5088929736 |
| Mailing Telephone | 5088924886 |
| Mailing Fax Number | 5088929736 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | SHELLEY MANGAN (DIRECTOR OF FINANCE AND DEVELOPMENT) |
| Authorized Official Telephone | 5088924886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Nazareth | Doing Business As Name - Organization |
| Street Address |
77 MULBERRY ST |
| City | LEICESTER |
| State | MA |
| Zip Code | 01524-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639649619 | James Joseph Phelan | Social Worker | 77 Mulberry St, Leicester, MA 01524-1011 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225277098 | Amy L Heath | Pharmacist | 20 Soojians Dr, Leicester, MA 01524 | 2009-02-18 |
| 1457355877 | Town of Leicester | Ambulance | Town Hall, 3 Washburn Square, Leicester, MA 01524 | 2005-06-13 |
| 1679763627 | Catherine Marie Correia | Specialist | 964 Main St, Leicester, MA 01524 | 2007-07-26 |
| 1265569016 | John J Millette | Dentist | 119 S Main Street, Leicester, MA 01524 | 2007-02-28 |
| 1740410992 | Skilled Homecare Services | Home Infusion | 391 Pleasant St, Leicester, MA 01524-1221 | 2009-07-22 |
| 1740769058 | Melissa Marie Fish | Counselor | 803 Main St, Leicester, MA 01524-1305 | 2018-08-08 |
| 1871033944 | Justin Mertz | Counselor | 803 Main St, Leicester, MA 01524-1305 | 2017-03-08 |
| 1427505635 | Jessica Tyler Martin | Counselor | 803 Main St, Leicester, MA 01524-1305 | 2016-09-06 |
| 1710477989 | Kerri Weise Augusto | Psychologist | 964 Main St, Leicester, MA 01524-1310 | 2018-05-14 |
| 1962862896 | Joseph Ryan Richard | Specialist/Technologist | 964 Main St, Leicester, MA 01524-1310 | 2016-03-04 |
| Find all providers in zip 01524 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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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.