Walnut Street Center, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

WALNUT STREET CENTER, INC

Practice address

71 Linwood St
Somerville, MA 02143-2112

Phone

(617) 776-1448

Fax

(617) 629-3568

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

John D Keegan

Title

Executive Director

Phone

(617) 776-1448

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962532861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOMERVILLE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433307",
            "telephone_number": "617-776-1448",
            "fax_number": "617-629-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 LINWOOD ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432112",
            "telephone_number": "617-776-1448",
            "fax_number": "617-629-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT STREET CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEEGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-776-1448"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1317555",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Eastern Co Inc
• Kathryn Walker, MS, MAOM
• Melanie Walker, PHARM.D
• Dalit Waller
• Walnut and Dogwood LLC
• Caila Walsh, CCC-SLP
• Lauren Walsh, LMHC
• Maureen Walsh, ED.D
• Claire Wan
• Jason Wang, PHARMD

• Developmentally Disabled Services Day Training Agency in Somerville, MA
• Providers in Somerville, MA by specialty
• Developmentally Disabled Services Day Training Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.