CMS Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CMS WELLNESS LLC

Practice address

45 Sterling St Ste 35
West Boylston, MA 01583-1268

Phone

(774) 232-3866

NPI assigned

Mar 29, 2019

Last updated

Mar 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caitlin Straubel, LMHC

Title

Member

Phone

(774) 232-3866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1073074183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 STERLING ST STE 35",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831268",
            "telephone_number": "774-232-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 STERLING ST STE 35",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831268",
            "telephone_number": "774-232-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "STRAUBEL",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "774-232-3866",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in West Boylston, MA
• Providers in West Boylston, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.