GIFFORD STREET WELLNESS CENTER, LLC (NPI# 1568078327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568078327 |
| Entity Type | Organization |
| Organization Name | GIFFORD STREET WELLNESS CENTER, LLC |
| Other Organization Name | GIFFORD STREET WELLNESS CENTER |
| Practice Address |
34 Gifford Street New Bedford MA 02744-2610 |
| Mailing Address |
6183 Pasco Del Norte, Ste 200 Carlsbad CA 92011-1155 |
| Practice Telephone | 5089993126 |
| Practice Fax Number | 5089918409 |
| Mailing Telephone | 8552592288 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | KIM SANDERSON (PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 8552592288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gifford Street Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891142154 | Gifford Street Wellness Center, LLC | Clinic/Center | 34 Gifford St, New Bedford, MA 02744-2610 | 2016-05-17 |
| Street Address |
34 GIFFORD STREET |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02744-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528071230 | Seven Hills Behavioral Health, Inc. | Clinic/Center | 34 Gifford Street, New Bedford, MA 02744 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183634 | Lilian Emefiele | Counselor | 34 Gilfford St., New Bedford, MA 02744 | 2020-10-29 |
| 1558613026 | Salud Spine Joint and Wellness Center | Clinic/Center | 651 Orchard Street, Suite 202a, New Bedford, MA 02744 | 2012-10-09 |
| 1508096124 | Daniel Martin Pogany | Chiropractor | 162 Aquidneck Street, New Bedford, MA 02744 | 2009-07-16 |
| 1619124781 | Stephanie Hannum | Social Worker | 32r Gifford St, New Bedford, MA 02744 | 2008-08-20 |
| 1356530877 | Wendy Anne Andrade | Social Worker | 32r Gifford St., New Bedford, MA 02744 | 2007-10-22 |
| 1891997425 | Monica Chace | Social Worker | 3032 R Gifford St, New Bedford, MA 02744 | 2007-06-05 |
| 1275741845 | Michael J. Hodosh | Counselor | 30-32r Gifford Street, New Bedford, MA 02744 | 2007-05-18 |
| 1871713131 | Juliet Hathon | Social Worker | 30-32r Gifford St, New Bedford, MA 02744 | 2007-04-27 |
| 1326162124 | Heather Hinchliffe | Counselor | 234 Bellevue Street, New Bedford, MA 02744 | 2007-03-19 |
| 1437448164 | Derek S Saltzman | Physical Medicine & Rehabilitation | 651 Orchard St, Suite 202a, New Bedford, MA 02744 | 2011-04-04 |
| Find all providers in zip 02744 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891142154 | Gifford Street Wellness Center, LLC | Clinic/Center | 34 Gifford St, New Bedford, MA 02744-2610 | 2016-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1245886258 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | 269 Treble Cove Rd., Billerica, MA 01862 | 2019-08-15 |
| 1225680671 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | 20 Manning Rd., Middleton, MA 01949 | 2019-07-15 |
| 1013479708 | Amanda Jeanne Davidson | Clinic/Center | 23 Duncan St, Gloucester, MA 01930-6001 | 2019-04-02 |
| 1295885390 | Catherine Marie Macdonald | Clinic/Center | 20 Forsythe Ave, South Yarmouth, MA 02664-1814 | 2007-01-11 |
| 1023175072 | Habit Opco, LLC | Clinic/Center | 511 East Columbus Ave., Springfield, MA 01105 | 2007-01-02 |
| 1154302586 | Northeast Behavioral Health Corporation | Clinic/Center | 800 Cummings Center, Suite 266t, Beverly, MA 01915-6172 | 2005-11-11 |
| 1669017653 | Behavioral Health Network, Inc | Clinic/Center | 395 Liberty St, Springfield, MA 01104-3779 | 2019-11-13 |
| 1568827962 | Community Health Care Inc | Clinic/Center | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2015-12-30 |
| 1689693343 | Stanley Street Treatment and Resources, Inc. | Clinic/Center | 386 Stanley St, Fall River, MA 02720-6009 | 2006-07-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW BEDFORD |
| Zip Code | 02744 |
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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.