Organization Active NPI

Pastoral Counseling Centers of Massachusetts, Inc

  • Case Management Agency
  • Westborough, MA
National Provider Identifier
1063507168
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PASTORAL COUNSELING CENTERS OF MASSACHUSETTS, INC
Practice address
18 Lyman St Ste 250
Westborough, MA 01581-1472
Phone
(508) 366-4000
Fax
(508) 870-9991
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Mary Taber
Title
Executive Director
Phone
(508) 366-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

18 Lyman St Ste 250
Westborough, MA 01581-1472

Mailing address

18 Lyman St Ste 250
Westborough, MA 01581-1472
Phone (508) 366-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130822000055 MA Part B Supplier - Clinic/Group Practice 4981865136 Receives reassigned benefits from 3 practitioners
Practice locations: Westborough, MA

National Provider Directory

National Provider Directory

Locations

18 Lyman St
Ste 250
Westborough, MA 01581
Phone (508) 366-4000

7 Church St
Westborough, MA 01581
Phone (508) 366-4000

Practitioners & affiliated clinicians

Practitioners 6

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1063507168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LYMAN ST STE 250",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811472",
            "telephone_number": "508-366-4000",
            "fax_number": "508-870-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LYMAN ST STE 250",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811472",
            "telephone_number": "508-366-4000",
            "fax_number": "508-870-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTORAL COUNSELING CENTERS OF MASSACHUSETTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "TABER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-366-4000"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.

Verify at the official NPI Registry.