Active NPI
Riverside Community Care
- Community/Behavioral Health Agency
- Milford, MA
National Provider Identifier
1376801043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- S69008085
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.