LOWELL TREATMENT CENTER (NPI# 1326415860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326415860 |
| Entity Type | Organization |
| Organization Name | LOWELL TREATMENT CENTER |
| Practice Address |
391 Varnum Ave Lowell MA 01854-2119 |
| Practice Telephone | 9787032221 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |
| Authorized Official Name | JULIE S WILLIAMS (DIRECTOR) |
| Authorized Official Telephone | 9787032221 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811368491 | Lowell Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 391 Varnum Ave, Lowell, MA 01854-2119 | 2015-10-08 |
| 1417340084 | Lowell Treatment Center | Community/Behavioral Health | 391 Varnum Ave, Lowell, MA 01854-2119 | 2015-03-06 |
| 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 |
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| 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 |
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| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811368491 | Lowell Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 391 Varnum Ave, Lowell, MA 01854-2119 | 2015-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
| 1952784506 | Justice Resource Institute | Community Based Residential Treatment Facility, Mental Illness | 262 Crescent St, Waltham, MA 02453-3417 | 2015-07-01 |
| 1639564214 | Northeast Behavioral Associates | Community Based Residential Treatment Facility, Mental Illness | 23 Dailey Rd, Brockton, MA 02302-2250 | 2015-04-01 |
| 1346641313 | Penikese Island School, Inc | Community Based Residential Treatment Facility, Mental Illness | 565 Woods Hole Rd, Woods Hole, MA 02543-1041 | 2014-09-10 |
| 1750780227 | Westbridge Inc | Community Based Residential Treatment Facility, Mental Illness | 275 Mystic Ave, Ste C, Medford, MA 02155-6301 | 2014-08-20 |
| 1780966606 | Walgreens | Community Based Residential Treatment Facility, Mental Illness | 113 Monument St, Medford, MA 02155-3538 | 2011-09-16 |
| 1851627988 | Hampden County Sherriff's Department | Community Based Residential Treatment Facility, Mental Illness | 701 Center St, Chicopee, MA 01013-1588 | 2009-10-24 |
| 1184958423 | Joseph D Reich | Community Based Residential Treatment Facility, Mental Illness | 475 State Rd, Plymouth, MA 02360-5185 | 2009-09-18 |
| 1922127349 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Westborough State Hospital Chauncy Hall, Lyman St Daniels 1, Westborough, MA 01581 | 2007-03-28 |
| 1568580736 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Brighton Irtp - Everett House, 232 Centre St, Dorchester Center, MA 02124-2334 | 2007-03-27 |
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| 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.