NPIMap

Organization Active NPI

Cardinal Cushing Centers, Inc.

  • Community/Behavioral Health Agency
  • Hanover, MA
National Provider Identifier
1093839896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
DMR Issued in MA
Legal business name
CARDINAL CUSHING CENTERS, INC.
Practice address
405 Washington St
Hanover, MA 02339-2343
Phone
(781) 829-1215
Fax
(781) 826-4421
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sigmund R Kozaryn
Title
Vice President Finance and Cfo
Phone
(781) 829-1215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X DMR MA Primary

Addresses

Primary practice location

405 Washington St
Hanover, MA 02339-2343

Mailing address

405 Washington St
Hanover, MA 02339-2343
Phone (781) 829-1215

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Cushing Centers Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093839896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392343",
            "telephone_number": "781-829-1215",
            "fax_number": "781-826-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392343",
            "telephone_number": "781-829-1215",
            "fax_number": "781-826-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL CUSHING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOZARYN",
        "authorized_official_first_name": "SIGMUND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE AND CFO",
        "authorized_official_telephone_number": "781-829-1215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "DMR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.