Active NPI
Behavioral and Mental Health of Central Mass Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Worcester, MA
National Provider Identifier
1306408638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BEHAVIORAL AND MENTAL HEALTH OF CENTRAL MASS INC.
- Practice address
- 255 Park Ave Ste 500
Worcester, MA 01609-1989 - Phone
- (413) 886-2121
- NPI assigned
- Jul 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mercedes Fernandez
- Title
- Administrator Director
- Phone
- (413) 886-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
255 Park Ave Ste 500
Worcester, MA 01609-1989
Mailing address
235 Redfern Dr
Longmeadow, MA 01106-1731
Other practice location 1
95 Frank B Murray St
Springfield, MA 01103-1106
Phone (413) 886-2121
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562544000000",
"number": "1306408638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 REDFERN DR",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 PARK AVE STE 500",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091989",
"telephone_number": "413-886-2121"
}
],
"practiceLocations": [
{
"address_1": "95 Frank B Murray St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011031106",
"country_code": "US",
"telephone_number": "413-886-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BEHAVIORAL AND MENTAL HEALTH OF CENTRAL MASS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "MERCEDES",
"authorized_official_title_or_position": "ADMINISTRATOR DIRECTOR",
"authorized_official_telephone_number": "413-886-2121"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
- Angela Beeler, M.D.
- Ayshe Ana Beesen, M.D.
- Edward Albert Beeso Jr.
- Shamim Begum, CLINICIAN
- Behavior Intervention Solutions Inc
- Behavioral Concepts Inc.
- Behavioral Concepts Inc.
- Behavioral Concepts Innovation, LLC
- Behavioral Health Associates of Central Massachusetts
- Behavioral Health by Sunrise Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.