Central Mass Behavioral Health, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CENTRAL MASS BEHAVIORAL HEALTH, INC.

Practice address

255 Park Ave Ste 500
Worcester, MA 01609-1989

Phone

(413) 886-2121

NPI assigned

Jun 13, 2019

Last updated

Jun 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mercedes Fernandez

Title

Adminitrator

Phone

(413) 886-2121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1760041685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 500",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 500",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091989",
            "telephone_number": "413-886-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MASS BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "ADMINITRATOR",
        "authorized_official_telephone_number": "413-886-2121"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Central Mass Health Systems (Parsons Hill Nursing & Rehabilitation Center)
• Central Mass Medical Group
• Central Mass Nephrology
• Central Mass Pediatric Gi & Nutrition, P.C.
• Central Mass Speech, Language & Behavior Specialists, Inc

• Clinic/Center in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.