WALDEN BEHAVIORAL CARE LLC (NPI# 1992778781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992778781 |
| Entity Type | Organization |
| Organization Name | WALDEN BEHAVIORAL CARE LLC |
| Practice Address |
9 Hope Ave Ste 500 Waltham MA 02453 |
| Practice Telephone | 7816476705 |
| Practice Fax Number | 7816476755 |
| Mailing Telephone | 7816476705 |
| Mailing Fax Number | 7816476755 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | MR. STUART KOMAN (PRESIDENT CEO) |
| Authorized Official Telephone | 7816472929 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 283Q00000X | Psychiatric Hospital | 679 | MA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1199471 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568330 | Walden Behavioral Care LLC | Pharmacy | 10 Carematrix Dr, Dedham, MA 02026-6149 | 2020-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WALDEN BEHAVIORAL CARE LLC | 9 Hope Avenue, Suite 500, Waltham, MA 02453 |
| Street Address |
9 HOPE AVE STE 500 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083767 | Robert Kevin Mcintyre | Internal Medicine | 9 Hope Ave, Suite 152, Waltham, MA 02453 | 2005-09-16 |
| 1295341972 | Maria Elizabeth Galassi | Speech-Language Pathologist | 9 Hope Ave, Waltham, MA 02453-2741 | 2020-09-18 |
| 1376162446 | Jillian Mangone | Speech-Language Pathologist | 9 Hope Ave, Waltham, MA 02453-2741 | 2020-04-09 |
| 1538798806 | Karen Veilleux | Physical Therapist | 9 Hope Ave, Waltham, MA 02453-2741 | 2020-04-07 |
| 1720634587 | Matthew E Fasano | Psychologist | 9 Hope Ave, Waltham, MA 02453-2741 | 2019-08-16 |
| 1255998597 | Andrew Mancini | Speech-Language Pathologist | 9 Hope Ave, Waltham, MA 02453-2741 | 2019-05-22 |
| 1679056170 | Chelsea Mello | Occupational Therapist | 9 Hope Ave, Waltham, MA 02453-2741 | 2018-09-11 |
| 1619459229 | Jessica Mcguire | Social Worker | 9 Hope Ave, Waltham, MA 02453-2741 | 2018-08-30 |
| 1174019590 | Jocelyn Hulburt | Nurse Practitioner | 9 Hope Ave, Waltham, MA 02453-2741 | 2018-07-09 |
| 1023502481 | Mary Woodland | Social Worker | 9 Hope Ave, Waltham, MA 02453-2741 | 2018-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861901910 | Westborough Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 300 Friberg Pkwy, Westborough, MA 01581-3900 | 2017-09-20 |
| 1790223220 | Uhs of Westwood Pembroke | Psychiatric Hospital | 456 Mammoth Rd Apt 2, Dracut, MA 01826-6157 | 2017-02-04 |
| 1639615685 | Mariel Catherine Marfongelli | Psychiatric Hospital | 537 E 6th St Apt 1, Boston, MA 02127-3070 | 2017-01-15 |
| 1801041306 | Anne Mullaney | Psychiatric Hospital | 57 Settler Rd, Plymouth, MA 02360-2959 | 2008-11-25 |
| 1104077544 | Va Medical Center Brockton Ma | Psychiatric Hospital | 25 Belmont Ct Apt 8, Brockton, MA 02301-4730 | 2008-10-03 |
| 1497947899 | Boston Medical Center | Psychiatric Hospital | 272 Albion St, Apt 3, Wakefield, MA 01880-3154 | 2007-08-10 |
| 1346385267 | Claudia Helen Orleans | Psychiatric Hospital | 8 Hillcrest Ave, Nahant, MA 01908-1113 | 2007-02-20 |
| 1881787455 | Department of Mental Health | Psychiatric Hospital | 288 Lyman St., Westboro, MA 01581 | 2006-10-02 |
| 1407884059 | The Commonwealth of Massachusetts | Psychiatric Hospital | 460 Quincy Ave, Quincy, MA 02169-8130 | 2006-06-30 |
| 1619944105 | Cambridge Health Alliance | Psychiatric Hospital | 156 Raymond St, Apt 2, Cambridge, MA 02140-3315 | 2006-03-02 |
| Find all providers with the same taxonomy | ||||
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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.