NPIMap

Organization Active NPI

The Home for Little Wanders, Longview Farm

  • Mental Illness Community Based Residential Treatment Facility
  • Walpole, MA
National Provider Identifier
1588710156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
THE HOME FOR LITTLE WANDERS, LONGVIEW FARM
Practice address
399 Lincoln Rd
Walpole, MA 02081-1218
Phone
(508) 668-7703
Fax
(508) 660-9639
NPI assigned
Jan 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cynthia Elaine Dickens, M.ED, MHC
Title
Clinician
Phone
(508) 668-7703

Specialties & licenses 1

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

Addresses

Primary practice location

399 Lincoln Rd
Walpole, MA 02081-1218

Mailing address

399 Lincoln Rd
Walpole, MA 02081-1218
Phone (508) 668-7703

National Provider Directory

National Provider Directory

Locations

399 Lincoln Rd
Walpole, MA 02081
Phone (508) 668-7703

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588710156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 LINCOLN RD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811218",
            "telephone_number": "508-668-7703",
            "fax_number": "508-660-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 LINCOLN RD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811218",
            "telephone_number": "508-668-7703",
            "fax_number": "508-660-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOME FOR LITTLE WANDERS, LONGVIEW FARM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "508-668-7703",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED, MHC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.