Eric Roldan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000222563 Issued in MA

Practice address

11 Sycamore St
Worcester, MA 01608-2213

Phone

(508) 798-1900

Fax

(508) 798-1914

NPI assigned

Mar 2, 2017

Last updated

Mar 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hri Clinics, Inc.

  • Community/Behavioral Health Agency
  • Woburn, MA
  • NPI 1598707002
  Medicare reassignment NPD
• The Bridge of Central Massachusetts, Inc.

  dba Open Sky Community Services, Inc

  • Community/Behavioral Health Agency
  • Worcester, MA
  • NPI 1740657527

  Mental Health

  Medicare reassignment NPD
• Hri Clinics Inc

  dba Arbour Counseling Services

  • Community/Behavioral Health Agency
  • Norwell, MA
  • NPI 1922123199
  NPD
• The Bridge of Central Massachusetts, Inc

  • Foster Care Agency
  • Worcester, MA
  • NPI 1053746255
  NPD

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1285174854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SYCAMORE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082213",
            "telephone_number": "508-798-1900",
            "fax_number": "508-798-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SYCAMORE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082213",
            "telephone_number": "508-798-1900",
            "fax_number": "508-798-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "000222563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1316245319",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mili Rohilla, MD
• Luisanny Rojas Ortega
• Bertha-Elena Rojas, PSY.D.
• Raphael Rojas
• Yarelis Rojas
• Jesus Roldan
• Marcelo Roldan, RN
• Fostina Aidoo Rolle, LPN
• Aliyah Rollin
• Chauncie Rollins

• Mental Health Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.