Active NPI
Riverside Community Mental Health and Retardation Services, Inc.
- Community Health Clinic/Center
- Dedham, MA
National Provider Identifier
1548627557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- RIVERSIDE COMMUNITY MENTAL HEALTH AND RETARDATION SERVICES, INC.
- Practice address
- 450 Washington St Ste 201
Dedham, MA 02026-4449 - Phone
- (781) 329-0909
- Fax
- (781) 329-2631
- NPI assigned
- Jan 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Harris
- Title
- Cfo
- Phone
- (781) 329-0909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
450 Washington St Ste 201
Dedham, MA 02026-4449
Mailing address
450 Washington St Ste 201
Dedham, MA 02026-4449
Phone (781) 329-0909
National Provider Directory
National Provider DirectoryLocations
450 Washington St
Ste 201
Dedham, MA 02026
Phone (781) 449-1884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453334400000",
"number": "1548627557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 WASHINGTON ST STE 201",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020264449",
"telephone_number": "781-329-0909",
"fax_number": "781-329-2631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WASHINGTON ST STE 201",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020264449",
"telephone_number": "781-329-0909",
"fax_number": "781-329-2631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE COMMUNITY MENTAL HEALTH AND RETARDATION SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-21",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "781-329-0909"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.