Organization Active NPI

Riverside Community Mental Health and Retardation Services, Inc.

  • Community Health Clinic/Center
  • Dedham, MA
National Provider Identifier
1548627557
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
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

Updated by the provider on Jan 21, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.