WESTWOOD PEMBROKE HOSPITAL (NPI# 1861867244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861867244 |
| Entity Type | Organization |
| Organization Name | WESTWOOD PEMBROKE HOSPITAL |
| Practice Address |
391 Varnum Ave Lowell MA 01854-2119 |
| Practice Telephone | 9787032221 |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |
| Authorized Official Name | MR. FRANK EDWARD STEWART (CLINICIAN) |
| Authorized Official Telephone | 7912232997 |
| Authorized Official Credential | M.ED. |
| Is Organization Subpart | Y |
| Parent Organization Name | LOWELL TREATMENT CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| 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 | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073987509 | Lowell Treament Center | Psychiatric Hospital | 391 Varnum Ave, Lowell, MA 01854-2119 | 2015-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861901910 | Westborough Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 300 Friberg Pkwy, Westborough, MA 01581-3900 | 2017-09-20 |
| 1790223220 | Uhs of Westwood Pembroke | Psychiatric Hospital | 456 Mammoth Rd Apt 2, Dracut, MA 01826-6157 | 2017-02-04 |
| 1639615685 | Mariel Catherine Marfongelli | Psychiatric Hospital | 537 E 6th St Apt 1, Boston, MA 02127-3070 | 2017-01-15 |
| 1801041306 | Anne Mullaney | Psychiatric Hospital | 57 Settler Rd, Plymouth, MA 02360-2959 | 2008-11-25 |
| 1104077544 | Va Medical Center Brockton Ma | Psychiatric Hospital | 25 Belmont Ct Apt 8, Brockton, MA 02301-4730 | 2008-10-03 |
| 1497947899 | Boston Medical Center | Psychiatric Hospital | 272 Albion St, Apt 3, Wakefield, MA 01880-3154 | 2007-08-10 |
| 1346385267 | Claudia Helen Orleans | Psychiatric Hospital | 8 Hillcrest Ave, Nahant, MA 01908-1113 | 2007-02-20 |
| 1881787455 | Department of Mental Health | Psychiatric Hospital | 288 Lyman St., Westboro, MA 01581 | 2006-10-02 |
| 1407884059 | The Commonwealth of Massachusetts | Psychiatric Hospital | 460 Quincy Ave, Quincy, MA 02169-8130 | 2006-06-30 |
| 1619944105 | Cambridge Health Alliance | Psychiatric Hospital | 156 Raymond St, Apt 2, Cambridge, MA 02140-3315 | 2006-03-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WESTWOOD PEMBROKE HOSPITAL.
| 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.