NPIMap

Organization Active NPI

Multicultural Wellness Center Inc

  • Community/Behavioral Health Agency
  • Worcester, MA
National Provider Identifier
1497995757
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MULTICULTURAL WELLNESS CENTER INC
Practice address
10 Winthrop St Ste 3
Worcester, MA 01604-4445
Phone
(774) 321-0665
Fax
(508) 752-0947
NPI assigned
Feb 26, 2009
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Ms. Debra R Maddox, PSY.D.NPI 1194847079
Title
Executive Director
Phone
(508) 450-5882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10 Winthrop St Ste 3
Worcester, MA 01604-4445

Mailing address

10 Winthrop St Ste 3
Worcester, MA 01604-4445
Phone (774) 321-0665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120229000017 MA Part B Supplier - Clinic/Group Practice 9739347303 Receives reassigned benefits from 3 practitioners
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory
Tax ID family
Multicultural Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

10 Winthrop St
Ste 3
Worcester, MA 01604
Phone (774) 321-0665

10 Winthrop St
Ste 310
Worcester, MA 01604

10 Winthrop St
Ste 317A
Worcester, MA 01604

250 Commercial St
Ste 200
Worcester, MA 01608
Phone (508) 752-4685

250 Commercial St
Ste 330
Worcester, MA 01608
Phone (508) 725-4665

44 Front St
Fl 3
Worcester, MA 01608

44 Front St
Ste 200
Worcester, MA 01608

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1497995757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WINTHROP ST STE 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044445",
            "telephone_number": "774-321-0665",
            "fax_number": "508-752-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WINTHROP ST STE 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044445",
            "telephone_number": "774-321-0665",
            "fax_number": "508-752-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICULTURAL WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-450-5882",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Apr 18, 2025; 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.