Massachusetts Detox Centers Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MASSACHUSETTS DETOX CENTERS INC

Doing business as

Mayflower Detox

Practice address

362 Middlesex Ave
Wilmington, MA 01887-2127

Phone

(978) 737-7937

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

David Ray

Title

President

Phone

(978) 737-7937

Specialties & licenses 1

Addresses

Other names 1

• Mayflower Detox Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Minasian, APRN

  • Family Nurse Practitioner
  • Danvers, MA
  • NPI 1881387744
  NPD
• Dulcinea S Wetherell

  • Clinical Social Worker
  • Wilmington, MA
  • NPI 1235853888
  NPD

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1699442475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 MIDDLESEX AVE UNIT 8",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 MIDDLESEX AVE",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872127",
            "telephone_number": "978-737-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS DETOX CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-737-7937"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayflower Detox",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mayflower Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Marie Martiniello
• Angela Masciale, RN MSN CS
• Emily Mae Mason
• Mass EMS, Inc
• Mass General Brigham-Dasco HME LLC (Mass General Brigham-DASCO Home Medical Equipment)
• Massachusetts Sleep Consultants
• Masshome Solutions, Inc (Medical Nutrition Therapy Works)
• Alexandra Mastrangelo, LMHC
• Myracol Mastropietro
• Maximize Physical Therapy, LLC

• Substance Abuse Rehabilitation Facility in Wilmington, MA
• Providers in Wilmington, MA by specialty
• Substance Abuse Rehabilitation Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.