NPIMap

Organization Active NPI

Community Healthlink

  • Mental Illness Community Based Residential Treatment Facility
  • Worcester, MA
National Provider Identifier
1477919470
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
221190 Issued in MA
Legal business name
COMMUNITY HEALTHLINK
Practice address
227 Burncoat St
Worcester, MA 01606-2169
Phone
(508) 853-6988
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Maxwell Sharkey
Title
Clinician
Phone
(774) 641-1404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 221190 MA Primary

Addresses

Primary practice location

227 Burncoat St
Worcester, MA 01606-2169

Mailing address

72 Jacques Ave
Worcester, MA 01610-2476

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.

Locations

227 Burncoat St
Worcester, MA 01606
Phone (508) 853-6988

Practitioners & affiliated clinicians

Practitioners 5

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": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1477919470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 JACQUES AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 BURNCOAT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062169",
            "telephone_number": "508-853-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHLINK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "SHARKEY",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "774-641-1404"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MA",
            "license": "221190",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 6, 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.