NPIMap

Organization Active NPI

Community Healthlink, Inc

  • Mental Health Occupational Therapist
  • Worcester, MA
National Provider Identifier
1407567308
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
Legal business name
COMMUNITY HEALTHLINK, INC
Practice address
12 Queen St
Worcester, MA 01610-2411
Phone
(508) 860-1000
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Sarah Galvin
Title
Contracting & Credentialing Manager
Phone
(508) 860-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XM0800X Primary

Addresses

Primary practice location

12 Queen St
Worcester, MA 01610-2411

Mailing address

72 Jaques Ave
Worcester, MA 01610-2476

Other practice location 1

72 Jaques Ave
Worcester, MA 01610-2476
Phone (508) 860-1000

Other practice location 2

40 Spruce St
Leominster, MA 01453-3361
Phone (978) 534-6116

Other practice location 3

335 Chandler St
Worcester, MA 01602-3441
Phone (508) 791-3261

Other practice location 4

26 Queen St
Worcester, MA 01610-2473
Phone (508) 860-1000

Other identifiers 1

IdentifierTypeStateIssuer
110027890MedicaidMA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2116875Community Healthlink40 Spruce St, Leominster, MA 01453Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Community Healthlink Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1407567308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 JAQUES AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102411",
            "telephone_number": "508-860-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Jaques Ave",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016102476",
            "country_code": "US",
            "telephone_number": "508-860-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014533361",
            "country_code": "US",
            "telephone_number": "978-534-6116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Chandler St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016023441",
            "country_code": "US",
            "telephone_number": "508-791-3261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Queen St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016102473",
            "country_code": "US",
            "telephone_number": "508-860-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY HEALTHLINK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CONTRACTING & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "508-860-1135"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027890",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.