Young Men'S Christian Association of Worcester Mass

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF WORCESTER MASS

Doing business as

YMCA of Central Ma-
YMCA of Central Mass

Practice address

75 Shore Dr
Worcester, MA 01605-3199

Phone

(508) 852-6694

Fax

(508) 852-7591

NPI assigned

Jan 6, 2020

Organization subpart

No

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

Authorized official

Name

Karin Anderson

Title

Senior Program Director

Phone

(508) 852-6694

Specialties & licenses 1

Addresses

Other names 2

• YMCA of Central Ma- Doing business as
• YMCA of Central Mass Doing business as

Locations

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1689213795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SHORE DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053199",
            "telephone_number": "508-852-6694",
            "fax_number": "508-852-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SHORE DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053199",
            "telephone_number": "508-852-6694",
            "fax_number": "508-852-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF WORCESTER MASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "SENIOR PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "508-852-6694"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YMCA of Central Ma-",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YMCA of Central Mass",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• You Inc.
• You, Inc
• You, Inc.
• Meirong You
• Youinc
• Alexandra Michelle Young, AGACNP-BC
• Amber Autumn Young
• Antonio Young
• Barbara V Young, RDH
• Dayana Amina Young

• Athletic Trainer in Worcester, MA
• Providers in Worcester, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.