UHS OF WESTWOOD PEMBROKE (NPI# 1235400193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235400193 |
| Entity Type | Organization |
| Organization Name | UHS OF WESTWOOD PEMBROKE |
| Practice Address |
391 Varnum Ave Lowell MA 01854-2119 |
| Practice Telephone | 8007276324 |
| Practice Fax Number | 9783225097 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | MS. HAYDEE NUNEZ (CASE COORDINATOR) |
| Authorized Official Telephone | 7814923636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790223220 | Uhs of Westwood Pembroke | Psychiatric Hospital | 456 Mammoth Rd Apt 2, Dracut, MA 01826-6157 | 2017-02-04 |
| 1386652725 | Uhs of Westwood Pembroke | Counselor | 199 Oak St, Pembroke, MA 02359-1912 | 2006-08-03 |
| 1073569372 | Uhs of Westwood Pembroke | Psychiatry & Neurology | 45 Clapboardtree St, Westwood, MA 02090-2903 | 2006-05-26 |
| Street Address |
391 VARNUM AVE |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326005836 | Timaree Catherine Brown | Psychologist | 391 Varnum Ave, Lowell, MA 01854-2119 | 2006-04-27 |
| 1235785601 | Claudia Smith | Counselor | 391 Varnum Ave, Lowell, MA 01854-2119 | 2019-08-12 |
| 1043874753 | Shantel Sinclair | Behavior Technician | 391 Varnum Ave, Lowell, MA 01854-2119 | 2019-04-28 |
| 1689147316 | Chheub Bun Heng | Social Worker | 391 Varnum Ave, Lowell, MA 01854-2119 | 2019-01-04 |
| 1720555410 | Iniobong Francis Udounwa | Social Worker | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-10-31 |
| 1780166355 | Luciana Echavarria | Social Worker | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-08-30 |
| 1437636974 | Brent T Rourke | Student in an Organized Health Care Education/Training Program | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-07-27 |
| 1104315969 | Paula Alexandra Pereira Reis | Counselor | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-05-08 |
| 1992201776 | Krystal Peirce | Registered Nurse | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-04-02 |
| 1154820637 | Nolisha Trinices Greer | Counselor | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669080586 | Elizabeth Duncan Newell | Community/Behavioral Health | 24 Chauncey Ave, Lowell, MA 01851-4322 | 2020-07-16 |
| 1689169823 | Meredith Sargent Rogerson | Community/Behavioral Health | 578 Andover St, Lowell, MA 01852-1443 | 2018-06-29 |
| 1457803496 | Bourin You | Community/Behavioral Health | 373 Westford St, Lowell, MA 01851-2520 | 2016-10-25 |
| 1831595669 | Sophie Dipillo Advocacy Group, Inc. | Community/Behavioral Health | 27 Jackson St Apt 422, Lowell, MA 01852-2145 | 2014-11-05 |
| 1407984065 | Concord Valley Treatment Center | Community/Behavioral Health | 25-27 Central St, Lowell, MA 01852-1905 | 2007-03-02 |
| 1841824398 | Tori Kym Black | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2020-02-24 |
| 1366074395 | Jaclyn Davis | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2020-02-07 |
| 1770128274 | Ilyssa Marie Andino | Community/Behavioral Health | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2019-11-08 |
| 1033699202 | Community Resource Solutions Inc | Community/Behavioral Health | 256 Westford St, Lowell, MA 01851-2544 | 2018-08-17 |
| 1205352101 | Cinamon J. Blair | Community/Behavioral Health | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2017-08-22 |
| Find all providers in LOWELL | ||||
Please comment or provide details below to improve the information on UHS OF WESTWOOD PEMBROKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.