NPIMap

Organization Active NPI

Lifeworks, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Westwood, MA
National Provider Identifier
1043823685
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LIFEWORKS, INC.
Practice address
789 Clapboardtree St
Westwood, MA 02090-1717
Phone
(781) 762-4001
Fax
(781) 320-9778
NPI assigned
Aug 24, 2020
Last updated
Aug 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda J Calder
Title
Cfo
Phone
(781) 762-4001

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TM1800X
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Foster Care Agency 253J00000X

Addresses

Primary practice location

789 Clapboardtree St
Westwood, MA 02090-1717

Mailing address

789 Clapboardtree St
Westwood, MA 02090-1717
Phone (781) 762-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201110001754 MA Part B Supplier - Clinic/Group Practice 6507276151 Receives reassigned benefits from 11 practitioners
Practice locations: Westwood, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2075013Lifeworks, Inc789 Clapboardtree St, Westwood, MA 02090Certificate of waiverJan 8, 2028

National Provider Directory

National Provider Directory

Locations

789 Clapboardtree St
Westwood, MA 02090
Phone (781) 762-4001

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1043823685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CLAPBOARDTREE ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901717",
            "telephone_number": "781-762-4001",
            "fax_number": "781-320-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CLAPBOARDTREE ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901717",
            "telephone_number": "781-762-4001",
            "fax_number": "781-320-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALDER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-762-4001"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.