Active NPI
Behavioral Health Associates of Central Massachusetts
- Psychologist
- Worcester, MA
National Provider Identifier
1376663393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- BEHAVIORAL HEALTH ASSOCIATES OF CENTRAL MASSACHUSETTS
- Practice address
- 30 Sever St
Worcester, MA 01609-2194 - Phone
- (508) 752-7332
- Fax
- (508) 753-2551
- NPI assigned
- Mar 31, 2007
- 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
- Dr. Thomas J Nowak, PHD
- Title
- Partner
- Phone
- (508) 752-7332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
30 Sever St
Worcester, MA 01609-2194
Mailing address
30 Sever St
Worcester, MA 01609-2194
Phone (508) 752-7332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9775382 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
30 Sever St
Worcester, MA 01609
Phone (508) 752-7332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376663393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 SEVER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092194",
"telephone_number": "508-752-7332",
"fax_number": "508-753-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 SEVER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092194",
"telephone_number": "508-752-7332",
"fax_number": "508-753-2551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL HEALTH ASSOCIATES OF CENTRAL MASSACHUSETTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NOWAK",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "508-752-7332",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9775382",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
- Behavior Intervention Solutions Inc
- Behavioral and Mental Health of Central Mass Inc.
- Behavioral Concepts Inc.
- Behavioral Concepts Inc.
- Behavioral Concepts Innovation, LLC
- Behavioral Health by Sunrise Inc.
- Behavioral Healthcare Services
- Christopher Remsen Behrer, MD, PHD
- Norman E Beisaw, M.D.
- Karrisa Bejarano
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.