NPIMap

Organization Active NPI

The Commonwealth of Massachusetts

Doing business as Worcester Recovery Center & Hospital group practice

  • Psychiatry Physician
  • Worcester, MA
National Provider Identifier
1275680456
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Doing business as
Worcester Recovery Center & Hospital group practice
Practice address
309 Belmont St
Worcester, MA 01604-1695
Phone
(508) 368-4000
Fax
(508) 368-1502
NPI assigned
Jan 3, 2007
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Kathy Wenzel
Title
Chief Executive Officer
Phone
(508) 368-3727

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Clinical Nurse Specialist 364S00000X NU
Psychologist 103T00000X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

309 Belmont St
Worcester, MA 01604-1695

Mailing address

309 Belmont St
Worcester, MA 01604-1695
Phone (508) 368-4000

Other names 1

  • Worcester Recovery Center & Hospital group practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051201000869 MA Part B Supplier - Clinic/Group Practice 8820906860 Receives reassigned benefits from 57 practitioners
Practice locations: Worcester, MA

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tewksbury HospitalTewksbury, MA, CCN 222003 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Lemuel Shattuck HospitalJamaica Plain, MA, CCN 222006 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Dr. John C Corrigan Mental Health CenterFall River, MA, CCN 224028 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 2, 1989
Solomon Carter Fuller Mental Health CenterBoston, MA, CCN 224040 Hospital Operational/Managerial Control (100%) Dec 26, 2008
Worcester Recovery Center and HospitalWorcester, MA, CCN 224032 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 17, 1992
Cape Cod and the Islands Mental Health CenterPocasset, MA, CCN 224031 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 2, 1989
Taunton State HospitalTaunton, MA, CCN 224001 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1986
Massachusetts Veterans' Home in ChelseaChelsea, MA, CCN 225110 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 1, 2023
Jul 1, 1966
Massachusetts Veterans' Home of HolyokeHolyoke, MA, CCN 225786 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 6, 2025
May 6, 2025

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 70

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.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1275680456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041695",
            "telephone_number": "508-368-4000",
            "fax_number": "508-368-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041695",
            "telephone_number": "508-368-4000",
            "fax_number": "508-368-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "508-368-3727"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worcester Recovery Center & Hospital group practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Worcester Recovery Center & Hospital group practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.