NPIMap

Organization Active NPI

Comprehensive Outpatient Services, Inc

Doing business as Riverfront Counseling Center

  • Community/Behavioral Health Agency
  • Fitchburg, MA
National Provider Identifier
1083742365
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4196 Issued in MA
Legal business name
COMPREHENSIVE OUTPATIENT SERVICES, INC
Doing business as
Riverfront Counseling Center
Practice address
76 Summer St
Fitchburg, MA 01420-5783
Phone
(978) 345-6729
Fax
(978) 342-7503
NPI assigned
Mar 1, 2007
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPREHENSIVE OUTPATIENT SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Dr. Bruce Leslie Mermelstein, ED DNPI 1285674184
Title
President
Phone
(617) 527-4610

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4196 MA
Mental Health Counselor 101YM0800X 4196 MA
Professional Counselor 101YP2500X 4196 MA
School Counselor 101YS0200X 4196 MA
Psychologist 103T00000X 4196 MA
Addiction (Substance Use Disorder) Psychologist 103TA0400X 4196 MA
Clinical Psychologist 103TC0700X 4196 MA
Clinical Child & Adolescent Psychologist 103TC2200X 4196 MA
Family Psychologist 103TF0000X 4196 MA
Group Psychotherapy Psychologist 103TP2701X 4196 MA
Clinical Social Worker 1041C0700X 4196 MA
Marriage & Family Therapist 106H00000X 4196 MA
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 4196 MA
Psychiatry Physician 2084P0800X 4196 MA
Community/Behavioral Health Agency 251S00000X 4196 MA Primary

Addresses

Primary practice location

76 Summer St
Fitchburg, MA 01420-5783

Mailing address

76 Summer St
Fitchburg, MA 01420-5783
Phone (978) 345-6729

Other identifiers 8

IdentifierTypeStateIssuer
600022632OtherMAMAGELLAN
M18561OtherMABCBS
M18559OtherMABCBS
M18560OtherMABCBS
1000930OtherMABEACON
1300491MedicaidMA
701784OtherMATUFTS
M21821OtherMAGROUP P TAN

Other names 1

  • RIVERFRONT COUNSELING CENTER Doing business as

National Provider Directory

National Provider Directory
Part of
Charles River Counseling

Locations

76 Summer St
Ste 025
Fitchburg, MA 01420
Phone (978) 345-6729

76 Summer St
Ste 25
Fitchburg, MA 01420
Phone (978) 345-6729

Practitioners & affiliated clinicians

Practitioners 9

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1083742365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205783",
            "telephone_number": "978-345-6729",
            "fax_number": "978-342-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205783",
            "telephone_number": "978-345-6729",
            "fax_number": "978-342-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE OUTPATIENT SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE OUTPATIENT SERVICES INC",
        "enumeration_date": "2007-03-01",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "MERMELSTEIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-527-4610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED D"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
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            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
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            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "4196",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "4196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600022632",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18561",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18559",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18560",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1000930",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300491",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "701784",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP P TAN",
            "identifier": "M21821",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERFRONT COUNSELING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.