NPIMap

Organization Active NPI

Family Health Center of Worcester, Inc.

Doing business as Goddard School of Science & Technology Health Center

  • Federally Qualified Health Center (FQHC)
  • Worcester, MA
National Provider Identifier
1225323777
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
4669 Issued in MA
Legal business name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Doing business as
Goddard School of Science & Technology Health Center
Practice address
14 Richards St
Goddard Health Center
Worcester, MA 01603-2609
Phone
(508) 757-3401
Fax
(508) 757-3492
NPI assigned
Jun 13, 2011
Last updated
May 27, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY HEALTH CENTER OF WORCESTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Alyda Justiniano-Franzel
Title
MGR. Provider Relations/Cred
Phone
(508) 860-7962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 4669 MA Primary

Addresses

Primary practice location

14 Richards St
Goddard Health Center
Worcester, MA 01603-2609

Mailing address

14 Richards St
Goddard Health Center
Worcester, MA 01603-2609
Phone (508) 757-3401

Other names 1

  • Goddard School of Science & Technology Health Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1013127Goddard School of Technology and Science14 Richards Street 2ND Floor, Worcester, MA 01603Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Family Health Center of Worcester Inc10 organizations share this tax ID, including this one
Part of
Family Health Center of Worcester Inc

Other organizations with this tax ID 9

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1225323777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RICHARDS ST",
            "address_2": "GODDARD HEALTH CENTER",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016032609",
            "telephone_number": "508-757-3401",
            "fax_number": "508-757-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHARDS ST",
            "address_2": "GODDARD HEALTH CENTER",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016032609",
            "telephone_number": "508-757-3401",
            "fax_number": "508-757-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER OF WORCESTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY HEALTH CENTER OF WORCESTER, INC.",
        "enumeration_date": "2011-06-13",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "JUSTINIANO-FRANZEL",
        "authorized_official_first_name": "ALYDA",
        "authorized_official_title_or_position": "MGR. PROVIDER RELATIONS/CRED",
        "authorized_official_telephone_number": "508-860-7962"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": "4669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goddard School of Science & Technology Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goddard School of Science & Technology Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.