Organization Active NPI

New England Center for Family Connection

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1629770193
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEW ENGLAND CENTER FOR FAMILY CONNECTION
Practice address
30 Tyler Prentice Rd
Worcester, MA 01605-1909
Phone
(508) 241-1558
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Ms. Debbie Burwick
Title
Insuranc/Credentialing Specialist
Phone
(774) 666-0092

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

30 Tyler Prentice Rd
Worcester, MA 01605-1909

Mailing address

30 Tyler Prentice Rd
Worcester, MA 01605-1909
Phone (508) 241-1558

National Provider Directory

National Provider Directory

Locations

30 Tyler Prentice Rd
Worcester, MA 01605
Phone (508) 241-1558

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1629770193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TYLER PRENTICE RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051909",
            "telephone_number": "508-241-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TYLER PRENTICE RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051909",
            "telephone_number": "508-241-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CENTER FOR FAMILY CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "BURWICK",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "INSURANC/CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "774-666-0092",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 20, 2023; 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.