Active NPI
Alternative Wellness Centers
- Pain Medicine (Anesthesiology) Physician
- Worcester, MA
National Provider Identifier
1104654789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- ALTERNATIVE WELLNESS CENTERS
- Practice address
- 146 W Boylston Dr Ste 202
Worcester, MA 01606-2799 - Phone
- (508) 212-9364
- NPI assigned
- Jul 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathleen McKinnon
- Title
- President
- Phone
- (508) 212-9364
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
146 W Boylston Dr Ste 202
Worcester, MA 01606-2799
Mailing address
146 W Boylston Dr Ste 202
Worcester, MA 01606-2799
Phone (508) 212-9364
National Provider Directory
National Provider DirectoryLocations
146 W Boylston Dr
Ste 202
Worcester, MA 01606
Phone (508) 212-9364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721779200000",
"number": "1104654789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 W BOYLSTON DR STE 202",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062799",
"telephone_number": "508-212-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 W BOYLSTON DR STE 202",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062799",
"telephone_number": "508-212-9364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTERNATIVE WELLNESS CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A",
"authorized_official_last_name": "MCKINNON",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-212-9364",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.