Organization Active NPI

The Whole Child, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Upton, MA
National Provider Identifier
1184350290
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
THE WHOLE CHILD, INC.
Practice address
2 Maple Ave
Upton, MA 01568-1655
Phone
(508) 603-1711
NPI assigned
Jul 29, 2022
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Bonnie Jeanne Delongchamp, LSW, MMFT
Title
Executive Director
Phone
(508) 603-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

2 Maple Ave
Upton, MA 01568-1655

Mailing address

PO Box 400
Upton, MA 01568-0400
Phone (508) 603-1711

Other identifiers 1

IdentifierTypeStateIssuer
313755OtherMASOCIAL WORK LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice Direct

National Provider Directory

National Provider Directory

Locations

2 Maple Ave
Upton, MA 01568
Phone (508) 603-1711

Practitioners & affiliated clinicians

Practitioners 2

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": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1184350290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "015680400",
            "telephone_number": "508-603-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAPLE AVE",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "015681655",
            "telephone_number": "508-603-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WHOLE CHILD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "DELONGCHAMP",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-603-1711",
        "authorized_official_credential": "LSW, MMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "313755",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "A private practice portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Maple Ave",
            "city": "Upton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015681655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.