Organization Active NPI

Worcester Center for Expressive Therapies

  • Specialist
  • Worcester, MA
National Provider Identifier
1760889844
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8865 Issued in MA
Legal business name
WORCESTER CENTER FOR EXPRESSIVE THERAPIES
Practice address
255 Park Ave Ste 304
Worcester, MA 01609-1991
Phone
(774) 243-7992
Fax
(774) 243-7993
NPI assigned
Dec 4, 2014
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Kayla C Daly, MT-BC, LMHC
Title
Owner
Phone
(774) 243-7992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 8865 MA Primary

Addresses

Primary practice location

255 Park Ave Ste 304
Worcester, MA 01609-1991

Mailing address

255 Park Ave Ste 412
Worcester, MA 01609-1953
Phone (774) 243-7992

National Provider Directory

National Provider Directory

Locations

255 Park Ave
Ste 304
Worcester, MA 01609
Phone (508) 304-2415

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1760889844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 412",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "774-243-7992",
            "fax_number": "774-243-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 304",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091991",
            "telephone_number": "774-243-7992",
            "fax_number": "774-243-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER CENTER FOR EXPRESSIVE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-243-7992",
        "authorized_official_credential": "MT-BC, LMHC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "8865",
            "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 Dec 11, 2015; 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.