Wellspring Farm LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WELLSPRING FARM LLC

Practice address

42 Hiller Rd
Rochester, MA 02770

Phone

(508) 763-5896

Fax

(508) 763-5896

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

James Edward Vogel, MA CAGS LCSW

Title

Founder Executive Director

Phone

(508) 763-5896

Specialties & licenses 7

Addresses

Other identifiers 4

Other names 1

• Wellspring Farm Learning Center Other name

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1730346339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 HILLER RD",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "02770",
            "telephone_number": "508-763-5896",
            "fax_number": "508-763-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 HILLER RD",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "02770",
            "telephone_number": "508-763-5896",
            "fax_number": "508-763-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FARM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "FOUNDER EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-763-5896",
        "authorized_official_credential": "MA CAGS LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA DMR AUTISM WAIVER NUMBER",
            "identifier": "WWELL001A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY MEDICAL ALLIANCE",
            "identifier": "0038463",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016266",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE VENDOR",
            "identifier": "VCG000188774AD",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Farm Learning Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica T Viera, MS, LABA
• Angela I Violette
• James Edward Vogel, MA, LCSW
• Oare Wall
• Wellspring Farm Learning Center
• Dakota Nicole Whittington
• Lauren Williams, M.ED., BCBA, LABA
• Tamasha Dawn Yazzie-Lambert
• Kylee Beth Youmans, MA, CCC-SLP
• Ashley K Young, MS, BCBA, LABA

• Community/Behavioral Health Agency in Rochester, MA
• Providers in Rochester, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.