NPIMap

Organization Active NPI

Riverside Community Community

  • Community/Behavioral Health Agency
  • Worcester, MA
National Provider Identifier
1598808016
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RIVERSIDE COMMUNITY COMMUNITY
Practice address
8 Prudential Rd
Worcester, MA 01606-1524
Phone
(508) 612-0761
NPI assigned
Feb 14, 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
Miss Tia Yang, M.S.
Title
Emergency Services Clinician
Phone
(508) 612-0761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

8 Prudential Rd
Worcester, MA 01606-1524

Mailing address

8 Prudential Rd
Worcester, MA 01606-1524
Phone (508) 612-0761

National Provider Directory

National Provider Directory
Tax ID family
Riverside Comm Mental H15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598808016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PRUDENTIAL RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061524",
            "telephone_number": "508-612-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PRUDENTIAL RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061524",
            "telephone_number": "508-612-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COMMUNITY COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "EMERGENCY SERVICES CLINICIAN",
        "authorized_official_telephone_number": "508-612-0761",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, 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.