Reuben Adu

Key facts

NPI

1972204790

Entity type

Individual (NPI type 1)

Primary specialty

Counselor 101Y00000X

Practice address

347 Greenwood St
Worcester, MA 01607-1785

Phone

(508) 363-0201

NPI assigned

Mar 17, 2023

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2023.

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1972204790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 GREENWOOD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 GREENWOOD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071785",
            "telephone_number": "508-363-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU",
        "first_name": "REUBEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

• Edward O Adu-Gyamfi, DNP PMHNP
• Stella R. Adu-Gyamfi, PMHNP-BC
• Plaxidis Adu-Poku
• Akosua Adu
• Esther Adu
• Adult Day Health, Inc.
• Adult Medicine Physicians, LLC
• Josna Adusumilli, MD
• Advanced Dental Sleep Medicine of Connecticut, PC
• Advanced Psych Services, LLC

All providers in Worcester, MA · Counselor in Massachusetts