NPIMap

Organization Active NPI

Westborough Behavioral Healthcare Hospital, LLC

  • Psychiatry Physician
  • Westborough, MA
National Provider Identifier
1821565425
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WESTBOROUGH BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Practice address
300 Friberg Pkwy
Westborough, MA 01581-3900
Phone
(508) 329-6300
NPI assigned
Nov 1, 2018
Organization subpart
Yes
Parent organization
WESTBOROUGH BEHAVIORAL HEALTHCARE HOSPITAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Hana Attar
Title
Avp/Managing Counsel
Phone
(248) 905-5091

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X

Addresses

Primary practice location

300 Friberg Pkwy
Westborough, MA 01581-3900

Mailing address

300 Friberg Pkwy
Westborough, MA 01581-3900

Other names 1

  • Westborough Professional Associates, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220817001493 MA Part B Supplier - Clinic/Group Practice 6305103250 Receives reassigned benefits from 16 practitioners
Practice locations: Westborough, MA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Westborough Behavioral Healthcare Hospital LLC2 organizations share this tax ID, including this one
Part of
Westborough Behavioral Healthcare Hospital LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1821565425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRIBERG PKWY",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRIBERG PKWY",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813900",
            "telephone_number": "508-329-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBOROUGH BEHAVIORAL HEALTHCARE HOSPITAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTBOROUGH BEHAVIORAL HEALTHCARE HOSPITAL, LLC",
        "enumeration_date": "2018-11-01",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "ATTAR",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "AVP/MANAGING COUNSEL",
        "authorized_official_telephone_number": "248-905-5091"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westborough Professional Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westborough Professional Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.