Active NPI
James P. Bresnahan, P.C.
- Addiction (Substance Use Disorder) Counselor
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4524
- Legal business name
- JAMES P. BRESNAHAN, P.C.
- Practice address
- 55 Cedar St
Worcester, MA 01609-4101 - Phone
- (508) 752-1170
- Fax
- (508) 752-1800
- NPI assigned
- Mar 20, 2008
- Last updated
- Mar 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Patrick Bresnahan Jr., M.ED.
- Title
- Owner
- Phone
- (508) 752-1170
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4524 | MA | Primary |
Addresses
Primary practice location
55 Cedar St
Worcester, MA 01609-4101
Mailing address
55 Cedar St
Worcester, MA 01609-4101
Phone (508) 752-1170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306421 | Medicaid | MA | |
| Y10400 | Other | MA | 1308785, 2220002001 |
Other names 1
- James P. Bresnahan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
50 Elm St
Worcester, MA 01609
Phone (508) 752-1170
50 Elm St
Ste 7B
Worcester, MA 01609
Phone (508) 752-1170
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction (Substance Use Disorder) Counselor
- Worcester, MA
- NPI 1215031802
-
- Clinical Social Worker
- New Bedford, MA
- NPI 1659531648
-
- Clinical Psychologist
- Worcester, MA
- NPI 1992868913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1023289782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CEDAR ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016094101",
"telephone_number": "508-752-1170",
"fax_number": "508-752-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CEDAR ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016094101",
"telephone_number": "508-752-1170",
"fax_number": "508-752-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES P. BRESNAHAN, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "BRESNAHAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-752-1170",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.ED."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "4524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306421",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1308785, 2220002001",
"identifier": "Y10400",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "James P. Bresnahan",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.