NPIMap

Organization Active NPI

Family Works Psychological and Assessment Services, LLC

  • Community/Behavioral Health Agency
  • Worcester, MA
National Provider Identifier
1245415520
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8302 Issued in MA
Legal business name
FAMILY WORKS PSYCHOLOGICAL AND ASSESSMENT SERVICES, LLC
Practice address
51 Union St
Suite 216
Worcester, MA 01608-1194
Phone
(508) 791-9340
Fax
(508) 791-9345
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Dr. Danielle Andrea Wahba, M.A., LMHC, PSY.D.
Title
Sole Member
Phone
(508) 791-9340

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8302 MA Primary
Community/Behavioral Health Agency 251S00000X 5545 MA

Addresses

Primary practice location

51 Union St
Suite 216
Worcester, MA 01608-1194

Mailing address

51 Union St
Suite 216
Worcester, MA 01608-1194
Phone (508) 791-9340

National Provider Directory

National Provider Directory
Tax ID family
Family Works Psychological and Assessment Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

51 Union St
Ste 216
Worcester, MA 01608
Phone (508) 791-9340

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1245415520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 UNION ST",
            "address_2": "SUITE 216",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081194",
            "telephone_number": "508-791-9340",
            "fax_number": "508-791-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 UNION ST",
            "address_2": "SUITE 216",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081194",
            "telephone_number": "508-791-9340",
            "fax_number": "508-791-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WORKS PSYCHOLOGICAL AND ASSESSMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "WAHBA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "508-791-9340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.A., LMHC, PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "8302",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "5545",
            "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 Jan 4, 2008; 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.