Sturbridge Human Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

STURBRIDGE HUMAN SERVICES, INC

Practice address

450 Main St
Fiskdale, MA 01518-1296

Phone

(508) 347-7755

NPI assigned

Apr 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rocco Marino, PHDNPI 1558462549

Title

President

Phone

(508) 347-7755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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

• Rocco Anthony Marino, PHD

  • Psychologist
  • Starbridge, MA
  • NPI 1558462549

  MA

  Medicare reassignment NPD Authorized official
• Sheila Ann Botti, RN CS

  • Adult Psychiatric/Mental Health Registered Nurse
  • Sturbridge, MA
  • NPI 1184725871
  NPD
• Robert Marlowe Johnson, PHD

  • Mental Health Counselor
  • Fiskdale, MA
  • NPI 1154406536
  NPD (past)

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1457746711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015660740",
            "telephone_number": "508-347-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAIN ST",
            "city": "FISKDALE",
            "state": "MA",
            "postal_code": "015181296",
            "telephone_number": "508-347-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STURBRIDGE HUMAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-347-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Recore, LMHC
• Deborah Elizabeth Riley, LICSW
• Deborah A Sherman, MSPT
• SLMD, Inc. Dba Counseling Connections
• Sturbridge Family Chiropractic PC
• Tantasqua Regional School District Union 61
• Emmalyn Thorpe
• Town of Brimfield
• Town of Brookfield
• Town of Holland

• All providers in Fiskdale, MA
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.