Organization Active NPI

Montachusett Recovery Foundation Corp

  • Voluntary or Charitable Agency
  • Leominster, MA
National Provider Identifier
1275283095
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
MONTACHUSETT RECOVERY FOUNDATION CORP
Practice address
106 Carter St Ste 40
Leominster, MA 01453-7303
Phone
(978) 227-5036
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Matthew Boykin Wright, LADC II, CARC, CPSNPI 1467102285
Title
President / Executive Director
Phone
(978) 227-5036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Recovery Care Clinic/Center 261QR0800X
Non-Pharmacy Dispensing Site 332900000X
Bus 347B00000X
Private Vehicle 347C00000X

Addresses

Primary practice location

106 Carter St Ste 40
Leominster, MA 01453-7303

Mailing address

106 Carter St Ste 40
Leominster, MA 01453-7303
Phone (978) 227-5036

Other names 1

  • Montachusett Recovery Center Other name

National Provider Directory

National Provider Directory

Locations

106 Carter St
Ste 40
Leominster, MA 01453
Phone (978) 227-5036

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1275283095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CARTER ST STE 40",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014537303",
            "telephone_number": "978-227-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CARTER ST STE 40",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014537303",
            "telephone_number": "978-227-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTACHUSETT RECOVERY FOUNDATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BOYKIN",
        "authorized_official_title_or_position": "PRESIDENT / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-227-5036",
        "authorized_official_credential": "LADC II, CARC, CPS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montachusett Recovery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Montachusett Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.