Refresh Recovery, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

REFRESH RECOVERY, LLC

Practice address

183 Washington St
Norwell, MA 02061-1752

Phone

(774) 249-8994

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Matthew Kellicker

Title

Owner

Phone

(774) 249-8994

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1699481499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611752",
            "telephone_number": "774-249-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "KELLICKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-249-8994"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Rancourt, LCPC-CC
• Meaghan Randall, LCSW
• Martine Raymond
• Patrick Raymond
• Nicole Reera
• Shannon Molly Rega, BCBA
• Daniel Regan, DMD
• Jillian Lee Regens
• Sarah Rego
• Hadija Reis Tavares

• Substance Use Disorder Rehabilitation Clinic/Center in Norwell, MA
• Providers in Norwell, MA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.