Charles River Assoc. for Retarded Citizens

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1311913 Issued in MA

Legal business name

CHARLES RIVER ASSOC. FOR RETARDED CITIZENS

Practice address

989 Central Ave
Needham, MA 02492

Phone

(781) 444-4347

Fax

(781) 444-5146

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Hilary Dietrich, BS

Title

V.P. of Therapeutic Day Services

Phone

(781) 972-1007

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255469847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DWIGHT RD",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-444-4347",
            "fax_number": "781-444-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 CENTRAL AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-444-4347",
            "fax_number": "781-444-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES RIVER ASSOC. FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "V.P. OF THERAPEUTIC DAY SERVICES",
        "authorized_official_telephone_number": "781-972-1007",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MA",
            "license": "1311913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311913",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amy Kelley Chan, M.D.
• Charles River Orthodontics, PLLC
• Danielle Renee Charney, M.S.W, LICSW
• Rhea Marisa Chase, PH.D.
• Jonathan Chason, DMD
• Edward Lee Chen, M.D.

• Developmentally Disabled Services Day Training Agency in Needham, MA
• Providers in Needham, MA by specialty
• Developmentally Disabled Services Day Training Agency in Massachusetts

• 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.