Clearhaven Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CLEARHAVEN RECOVERY CENTER

Practice address

20 Fox Rd
Waltham, MA 02451-1007

Phone

(781) 910-9739

NPI assigned

Mar 16, 2021

Last updated

Mar 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Castrucci

Title

Owner

Phone

(781) 910-9739

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1316522832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FOX RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FOX RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511007",
            "telephone_number": "781-910-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARHAVEN RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "CASTRUCCI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-910-9739",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Clancy
• Mollie Clark, M.A.
• Roseanne Elizabeth Clark, M.S., CCC-SLP
• Terrell A Clark, PHD
• Tiffany Clark
• Roya Leigh Clements, PA-C
• Clinical Therapeutic Support LCSW PC
• Will G Co, PHARM D
• Cobblestones LLC
• Elaine Coggins, LICSW

• Substance Abuse Rehabilitation Facility in Waltham, MA
• Providers in Waltham, MA by specialty
• Substance Abuse Rehabilitation Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.