NPIMap

Organization Active NPI

The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Worcester, MA
National Provider Identifier
1730656760
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Practice address
309 Belmont St
Worcester, MA 01604-1059
Phone
(508) 368-3455
Fax
(508) 363-1515
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
THE COMMONWEALTH OF MASSACHUSETTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Jacqueline DucharmeNPI 1790268407
Title
Chief Operating Officer
Phone
(508) 368-3455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

309 Belmont St
Worcester, MA 01604-1059

Mailing address

309 Belmont St
Worcester, MA 01604-1059
Phone (508) 368-3455

National Provider Directory

National Provider Directory
Tax ID family
Worcester State147 organizations share this tax ID, including this one
Part of
Worcester State

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1730656760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041059",
            "telephone_number": "508-368-3455",
            "fax_number": "508-363-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041059",
            "telephone_number": "508-368-3455",
            "fax_number": "508-363-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "DUCHARME",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "508-368-3455"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 29, 2018; 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.