MOSAIC CULTURAL COMPLEX INCORPORATED (NPI# 1821404369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821404369 |
| Entity Type | Organization |
| Organization Name | MOSAIC CULTURAL COMPLEX INCORPORATED |
| Practice Address |
41 Piedmont St Worcester MA 01610-1137 |
| Practice Telephone | 5084715908 |
| Mailing Telephone | 5084715908 |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2014-07-04 |
| Authorized Official Name | MS. BRENDA JENKINS (FOUNDER) |
| Authorized Official Telephone | 5089633878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
41 PIEDMONT ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| 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 |
|---|---|---|---|---|
| 1275132458 | Autism Behavioral & Therapeutic Services | Community/Behavioral Health | 5 Bedford Ave, Worcester, MA 01604-4707 | 2020-10-20 |
| 1811502966 | R.e.s.t. Counseling Services, LLC | Community/Behavioral Health | 36 Tirrell St # 1, Worcester, MA 01603-2617 | 2020-09-14 |
| 1841820313 | On Watch Counseling Services | Community/Behavioral Health | 316 Plantation St, Worcester, MA 01604-1745 | 2020-01-23 |
| 1194389304 | Autism Therapy & Training Services | Community/Behavioral Health | 1 Longwood Ave, Worcester, MA 01606-3416 | 2019-04-24 |
| 1265909360 | Autism Health Services LLC | Community/Behavioral Health | 5 Nathaniel St, Worcester, MA 01604-1524 | 2018-10-26 |
| 1144733056 | Tamami Amara Okano | Community/Behavioral Health | 500 Massasoit Rd # 2, Worcester, MA 01604-3548 | 2017-11-14 |
| 1346794831 | Abiworcester, LLC | Community/Behavioral Health | 133 Puritan Ave, Worcester, MA 01604-3230 | 2016-08-12 |
| 1730553124 | H.r.i. Clinics Inc - (worcester Location) | Community/Behavioral Health | 411 Chandler St., Arbour Counseling Services Partial Hospital Lization Pr, Worcester, MA 01602 | 2015-11-23 |
| 1811389901 | Autism Intervention Center | Community/Behavioral Health | 2 Naumaan Ln, Worcester, MA 01606-1274 | 2015-02-26 |
| 1851780316 | Families Together LLC | Community/Behavioral Health | 120 Chandler St # 2l, Worcester, MA 01609-2923 | 2015-01-21 |
| Find all providers in WORCESTER | ||||
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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.