Organization Active NPI

Mosaic Cultural Complex Incorporated

  • Community/Behavioral Health Agency
  • Worcester, MA
National Provider Identifier
1821404369
Registry record updated Jul 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 4, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.