NPIMap

Organization Active NPI

Concord Valley Treatment Center

  • Community/Behavioral Health Agency
  • Lowell, MA
National Provider Identifier
1407984065
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
DPH-4BNX Issued in MA
Legal business name
CONCORD VALLEY TREATMENT CENTER
Practice address
25-27 Central St
Lowell, MA 01852-1905
Phone
(978) 452-9229
Fax
(978) 452-3752
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Monica M Lambert, PHD
Title
Executive Director
Phone
(978) 452-9229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X DPH-4BNX MA Primary

Addresses

Primary practice location

25-27 Central St
Lowell, MA 01852-1905

Mailing address

25 Central St # 25
Lowell, MA 01852-1905
Phone (978) 452-9229

Other identifiers 2

IdentifierTypeStateIssuer
1893343MedicaidMA
#DPH-4BNXOtherMADPH LICENSE #

National Provider Directory

National Provider Directory

Locations

25 Central St
#25
Lowell, MA 01852

25 Central St
Lowell, MA 01852
Phone (978) 452-9229

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1407984065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CENTRAL ST # 25",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521905",
            "telephone_number": "978-452-9229",
            "fax_number": "978-452-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25-27 CENTRAL ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521905",
            "telephone_number": "978-452-9229",
            "fax_number": "978-452-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD VALLEY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-452-9229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "DPH-4BNX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1893343",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPH LICENSE #",
            "identifier": "#DPH-4BNX",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.