NPIMap

Organization Active NPI

Cleghorn Professional Counseling Center

  • Adult Mental Health Clinic/Center
  • Fitchburg, MA
National Provider Identifier
1598052664
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
7433 Issued in MA
Legal business name
CLEGHORN PROFESSIONAL COUNSELING CENTER
Practice address
63 Fairmount St
Fitchburg, MA 01420-7613
Phone
(978) 342-2709
NPI assigned
Jul 8, 2011
Last updated
Jul 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dennis Anthony BradleyNPI 1841313046
Title
Clinical Director
Phone
(978) 342-2709

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
Adult Mental Health Clinic/Center 261QM0850X 7433 MA Primary

Addresses

Primary practice location

63 Fairmount St
Fitchburg, MA 01420-7613

Mailing address

63 Fairmount St
Fitchburg, MA 01420-7613
Phone (978) 342-2709

National Provider Directory

National Provider Directory
Tax ID family
Cleghorn Professional Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

63 Fairmount St
Fitchburg, MA 01420
Phone (508) 733-0981

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1598052664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FAIRMOUNT ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207613",
            "telephone_number": "978-342-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FAIRMOUNT ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207613",
            "telephone_number": "978-342-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEGHORN PROFESSIONAL COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "978-342-2709"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "7433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.