Active NPI
Lowell Treatment Center
- Mental Illness Community Based Residential Treatment Facility
- Lowell, MA
National Provider Identifier
1811368491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 220932
- Legal business name
- LOWELL TREATMENT CENTER
- Practice address
- 391 Varnum Ave
Lowell, MA 01854-2119 - Phone
- (978) 703-2221
- NPI assigned
- Oct 8, 2015
- Last updated
- Oct 8, 2015
- Organization subpart
- Yes
- Parent organization
- UHS WESTWOOD PENBROKE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Marie Brooke, LCSW
- Title
- Therapist
- Phone
- (469) 360-3177
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 220932 | MA | Primary |
Addresses
Primary practice location
391 Varnum Ave
Lowell, MA 01854-2119
Mailing address
391 Varnum Ave
Lowell, MA 01854-2119
Phone (978) 703-2221
National Provider Directory
National Provider Directory- Part of
- Uhs of Westwood Pembroke
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.
-
- Clinical Social Worker
- Plano, TX
- NPI 1356712954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1811368491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542119",
"telephone_number": "978-703-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542119",
"telephone_number": "978-703-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWELL TREATMENT CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UHS WESTWOOD PENBROKE",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "BROOKE",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "469-360-3177",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "MA",
"license": "220932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.