Organization Active NPI

Total Wellness Centers, LLC

Doing business as CleanSlate Centers

  • Addiction Medicine (Internal Medicine) Physician
  • West Springfield, MA
National Provider Identifier
1770816506
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
TOTAL WELLNESS CENTERS, LLC
Doing business as
CleanSlate Centers
Practice address
900 Memorial Ave
West Springfield, MA 01089-3557
Phone
(413) 788-0100
Fax
(833) 279-7074
NPI assigned
Sep 11, 2009
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Paul Rogers Anderson
Title
Vice President
Phone
(615) 425-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X Primary

Addresses

Primary practice location

900 Memorial Ave
West Springfield, MA 01089-3557

Mailing address

155 Franklin Rd Ste 430
Brentwood, TN 37027-1602
Phone (615) 425-0220

Other names 1

  • CleanSlate Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100628000153 MA Part B Supplier - Clinic/Group Practice 2860536919 Receives reassigned benefits from 46 practitioners
Practice locations: West Springfield, MA; Worcester, MA; Wareham, MA; Tewksbury, MA; Springfield, MA; Plymouth, MA; Pittsfield, MA; North Adams, MA…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2076450Cleanslate Centers900 Memorial Ave, West Springfield, MA 01089Certificate of waiverAug 14, 2027

National Provider Directory

National Provider Directory

Locations

580 Cottage Grove Rd
#2092
Bloomfield, CT 06002
Phone (877) 218-2340

201 S Main St
Ste 3
Athol, MA 01331
Phone (978) 248-0442

59 Meridian St
East Boston, MA 02128
Phone (413) 341-1781

15 Carlson Ln
Unit 15B
Falmouth, MA 02540
Phone (774) 255-1739

342 Gifford St
Unit C
Falmouth, MA 02540
Phone (508) 495-0554

6 Arch St
Fl S
Greenfield, MA 01301

6 Arch St
Ste 3S
Greenfield, MA 01301

306 Race St
Holyoke, MA 01040
Phone (216) 681-9264

68 Camp St
Ste 1
Hyannis, MA 02601
Phone (774) 470-1370

350 Merrimack St
Ste 3
Lawrence, MA 01843

280 Union St
Ste 302
Lynn, MA 01901
Phone (781) 731-6804

77 Hospital Ave
Ste 107
North Adams, MA 01247
Phone (413) 664-6111

53 Eagle St
Ste 4
Pittsfield, MA 01201

110 Long Pond Rd
Ste 8A
Plymouth, MA 02360

130 Maple St
Lowr
Springfield, MA 01103

1985 Main St
Ste E
Springfield, MA 01103
Phone (413) 361-4587

278 Main St
Ste 307A
Springfield, MA 01151

380 Plainville St
Springfield, MA 01199

170 Main St
Tewksbury, MA 01876
Phone (978) 851-4141

83 South St
Ste 18
Ware, MA 01082

85 South St
Ste G108
Ware, MA 01082

117 Park Ave
Fl 2
West Springfield, MA 01089

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

5 S Main St
Ste 302
White River Junction, VT 05001

Practitioners & affiliated clinicians

Practitioners 82

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.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1770816506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 FRANKLIN RD STE 430",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271602",
            "telephone_number": "615-425-0220",
            "fax_number": "833-279-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MEMORIAL AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893557",
            "telephone_number": "413-788-0100",
            "fax_number": "833-279-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-425-0220"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CleanSlate Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.