NPIMap

Organization Active NPI

Riverside Community Care

  • Community/Behavioral Health Agency
  • Somerville, MA
National Provider Identifier
1467708248
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RIVERSIDE COMMUNITY CARE
Practice address
78 College Ave
2ND Floor
Somerville, MA 02144-1916
Phone
(617) 629-6624
Fax
(617) 629-6621
NPI assigned
Jul 30, 2012
Last updated
Jul 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Maureen Mulhren, LICSW
Title
Associate Division Director
Phone
(781) 320-5351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

78 College Ave
2ND Floor
Somerville, MA 02144-1916

Mailing address

78 College Ave
2ND Floor
Somerville, MA 02144-1916
Phone (617) 629-6624

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1467708248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 COLLEGE AVE",
            "address_2": "2ND FLOOR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441916",
            "telephone_number": "617-629-6624",
            "fax_number": "617-629-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 COLLEGE AVE",
            "address_2": "2ND FLOOR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441916",
            "telephone_number": "617-629-6624",
            "fax_number": "617-629-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "MULHREN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "ASSOCIATE DIVISION DIRECTOR",
        "authorized_official_telephone_number": "781-320-5351",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.