NPIMap

Organization Active NPI

Riverside Community Care

  • Community/Behavioral Health Agency
  • Dedham, MA
National Provider Identifier
1386195030
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
115639-SW-LICSW Issued in MA
Legal business name
RIVERSIDE COMMUNITY CARE
Practice address
270 Bridge St
Suite 301
Dedham, MA 02026-1798
Phone
(781) 320-5321
NPI assigned
Oct 18, 2016
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Marsha Medalie, LICSWNPI 1588026843
Title
Executive Vice-President
Phone
(781) 320-5328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 115639-SW-LICSW MA Primary

Addresses

Primary practice location

270 Bridge St
Suite 301
Dedham, MA 02026-1798

Mailing address

180 North St
Somerville, MA 02144-1122
Phone (781) 320-5321

National Provider Directory

National Provider Directory
Tax ID family
Riverside Comm MNTL HLT15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 564-8799

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1386195030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NORTH ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441122",
            "telephone_number": "781-320-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BRIDGE ST",
            "address_2": "SUITE 301",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261798",
            "telephone_number": "781-320-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "MEDALIE",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "EXECUTIVE VICE-PRESIDENT",
        "authorized_official_telephone_number": "781-320-5328",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "115639-SW-LICSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.