Organization Active NPI

Gifford Street Wellness Center, LLC

  • Methadone Clinic
  • New Bedford, MA
National Provider Identifier
1891142154
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
GIFFORD STREET WELLNESS CENTER, LLC
Doing business as
Gifford Street Wellness Center
Practice address
34 Gifford St
New Bedford, MA 02744-2610
Phone
(508) 999-3126
NPI assigned
May 17, 2016
Organization subpart
Yes
Parent organization
ACADIA HEALTHCARE COMPANY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Brian Phillip Farley
Title
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

34 Gifford St
New Bedford, MA 02744-2610

Mailing address

PO Box 682669
Franklin, TN 37068-2669
Phone (760) 501-8742

Other names 1

  • Gifford Street Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161027000167 MA Part B Supplier - Clinic/Group Practice 3274811120 Practice locations: New Bedford, MA
O20200303000789 MA Part B Supplier - Opioid Treatment Program (Otp) 3274811120 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Bedford, MA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Haven Behavioral Healthcare

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1891142154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682669",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370682669",
            "telephone_number": "760-501-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GIFFORD ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027442610",
            "telephone_number": "508-999-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFFORD STREET WELLNESS CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY, INC.",
        "enumeration_date": "2016-05-17",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gifford Street Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gifford Street Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.