Active NPI
Mosaic Cultural Complex Incorporated
- Community/Behavioral Health Agency
- Worcester, MA
National Provider Identifier
1821404369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MOSAIC CULTURAL COMPLEX INCORPORATED
- Practice address
- 41 Piedmont St
Worcester, MA 01610-1137 - Phone
- (508) 471-5908
- NPI assigned
- Jul 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Brenda Jenkins
- Title
- Founder
- Phone
- (508) 963-3878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
41 Piedmont St
Worcester, MA 01610-1137
Mailing address
41 Piedmont St
Worcester, MA 01610-1137
Phone (508) 471-5908
National Provider Directory
National Provider DirectoryLocations
41 Piedmont St
Worcester, MA 01610
Phone (508) 471-5908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404432000000",
"number": "1821404369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 PIEDMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016101137",
"telephone_number": "508-471-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 PIEDMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016101137",
"telephone_number": "508-471-5908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC CULTURAL COMPLEX INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-04",
"last_updated": "2014-07-04",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "508-963-3878",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"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 Jul 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.