Organization Active NPI

Riverside Community Care

  • Community/Behavioral Health Agency
  • Milford, MA
National Provider Identifier
1376801043
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
S69008085 Issued in MA
Legal business name
RIVERSIDE COMMUNITY CARE
Practice address
32 Hamilton Ave
Milford, MA 01757-1748
Phone
(508) 634-3420
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Ms. Katya A Sivacek, MSW
Title
Emergency Service Clinician
Phone
(774) 291-6653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X S69008085 MA Primary

Addresses

Primary practice location

32 Hamilton Ave
Milford, MA 01757-1748

Mailing address

32 Hamilton Ave
Milford, MA 01757-1748

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1376801043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HAMILTON AVE",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HAMILTON AVE",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571748",
            "telephone_number": "508-634-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "SIVACEK",
        "authorized_official_first_name": "KATYA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EMERGENCY SERVICE CLINICIAN",
        "authorized_official_telephone_number": "774-291-6653",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "S69008085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.