NPIMap

Organization Active NPI

Youth & Family Center

  • Community/Behavioral Health Agency
  • Fitchburg, MA
National Provider Identifier
1366749186
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH & FAMILY CENTER
Practice address
356B Broad St
Fitchburg, MA 01420-3054
Phone
(508) 856-1400
NPI assigned
Feb 14, 2011
Last updated
Feb 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Edgardo Rivera
Title
Youth Coordinator
Phone
(508) 856-1389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

356B Broad St
Fitchburg, MA 01420-3054

Mailing address

356B Broad St
Fitchburg, MA 01420-3054
Phone (508) 856-1400

National Provider Directory

National Provider Directory
Tax ID family
Quincy Mental Health Center147 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

356B Broad St
Fitchburg, MA 01420
Phone (508) 856-1380

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1366749186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356B BROAD ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203054",
            "telephone_number": "508-856-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356B BROAD ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203054",
            "telephone_number": "508-856-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH & FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "YOUTH COORDINATOR",
        "authorized_official_telephone_number": "508-856-1389"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.