Active NPI
Taylor Whittredge
- Mental Illness Community Based Residential Treatment Facility
- Worcester, MA
National Provider Identifier
1346824653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Practice address
- 2 Granite St
Worcester, MA 01604-5428 - Phone
- (508) 849-5640
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
2 Granite St
Worcester, MA 01604-5428
Mailing address
17 S Point Rd
Webster, MA 01570-3637
Phone (774) 200-8238
Other practice location 1
95 Pleasant St
Lynn, MA 01901-1524
Phone (800) 988-1111
Other practice location 2
117 Summer St
Somerville, MA 02143-2706
Phone (339) 216-7082
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | twhittredge@riversidecc.org | Direct | |
| Direct Messaging Address | twhittredge@riversidecc.org | Direct | |
| Direct Messaging Address | twhittredge@eliotchs.org | ||
| Direct Messaging Address | twhittredge@sevenhills.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Community Care, Inc. | Community/Behavioral Health | Current | Accepting new patients |
Locations
117 Summer St
Somerville, MA 02143
Phone (617) 284-5130
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Norwood, MA
- NPI 1780791467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1346824653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 S POINT RD",
"city": "WEBSTER",
"state": "MA",
"postal_code": "015703637",
"telephone_number": "774-200-8238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GRANITE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016045428",
"telephone_number": "508-849-5640"
}
],
"practiceLocations": [
{
"address_1": "95 Pleasant St",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "019011524",
"country_code": "US",
"telephone_number": "800-988-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "117 Summer St",
"address_purpose": "LOCATION",
"city": "Somerville",
"state": "MA",
"postal_code": "021432706",
"country_code": "US",
"telephone_number": "339-216-7082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTREDGE",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "twhittredge@riversidecc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "117 Summer St",
"city": "Somerville",
"state": "MA",
"country_code": "US",
"postal_code": "021432706",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "twhittredge@riversidecc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "21 Wisteria St",
"city": "Salem",
"state": "MA",
"country_code": "US",
"postal_code": "019704541",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "twhittredge@eliotchs.org",
"affiliation": "N",
"address_1": "95 Pleasant St",
"city": "Lynn",
"state": "MA",
"country_code": "US",
"postal_code": "019011524",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "twhittredge@sevenhills.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2 Granite St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016045428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.