NPIMap

Organization Active NPI

Integrated Childrens Therapies

  • Multi-Specialty Clinic/Center
  • Hudson, MA
National Provider Identifier
1518127331
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
INTEGRATED CHILDRENS THERAPIES
Practice address
2 Coolidge St
Hudson, MA 01749-1459
Phone
(978) 568-8800
Fax
(978) 568-8877
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Lisa Van GorderNPI 1649455130
Title
Owner
Phone
(508) 284-3916

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2 Coolidge St
Hudson, MA 01749-1459

Mailing address

20 Johnson Ave
Northborough, MA 01532-2022

National Provider Directory

National Provider Directory
Tax ID family
Integrated Children'S Therapies Inc3 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

2 Coolidge St
Hudson, MA 01749
Phone (888) 262-6223

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1518127331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JOHNSON AVE",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COOLIDGE ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017491459",
            "telephone_number": "978-568-8800",
            "fax_number": "978-568-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CHILDRENS THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "VAN GORDER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-284-3916"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.