GIFFORD STREET WELLNESS CENTER, LLC (NPI# 1891142154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891142154 |
Entity Type | Organization |
Organization Name | GIFFORD STREET WELLNESS CENTER, LLC |
Other Organization Name | GIFFORD STREET WELLNESS CENTER |
Practice Address |
34 Gifford St New Bedford MA 02744-2610 |
Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
Practice Telephone | 5089993126 |
Mailing Telephone | 8552592288 |
Enumeration Date | 2016-05-17 |
Last Update Date | 2020-01-15 |
Authorized Official Name | KIM SANDERSON (INTERIM PRESIDENT, CTC DIVISION) |
Authorized Official Telephone | 8552592288 |
Is Organization Subpart | Y |
Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Gifford Street Wellness Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568078327 | Gifford Street Wellness Center, LLC | Clinic/Center | 34 Gifford Street, New Bedford, MA 02744-2610 | 2020-09-17 |
Street Address |
34 GIFFORD ST |
City | NEW BEDFORD |
State | MA |
Zip Code | 02744-2610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801123005 | Kathy Mary Gayoski | Counselor | 34 Gifford St, New Bedford, MA 02744-2610 | 2009-11-09 |
1669073805 | Veronica Christina Lee | Nurse Practitioner | 34 Gifford St, New Bedford, MA 02744-2610 | 2020-11-04 |
1013514843 | Gabriela Liat Yeshua | Counselor | 34 Gifford St, New Bedford, MA 02744-2610 | 2020-10-05 |
1689209744 | Dayna Gladstein | Social Worker | 34 Gifford St, New Bedford, MA 02744-2610 | 2020-03-10 |
1669005153 | Marangely Lopez Rodriguez | Counselor | 34 Gifford St, New Bedford, MA 02744-2610 | 2020-02-13 |
1548810443 | Lauren Cann | Counselor | 34 Gifford St, New Bedford, MA 02744-2610 | 2019-09-13 |
1003470147 | Katia E. Custer | Counselor | 34 Gifford St, New Bedford, MA 02744-2610 | 2019-04-24 |
1134603327 | Lucas Silva | Counselor | 34 Gifford St, New Bedford, MA 02744-2610 | 2018-09-24 |
1598249021 | Crystal Ann Correira | Counselor | 34 Gifford St, New Bedford, MA 02744-2610 | 2018-09-20 |
1942784764 | Katherine Anne Orlowski | Registered Nurse | 34 Gifford St, New Bedford, MA 02744-2610 | 2018-09-18 |
Find all providers in the same location |
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 |
1528071230 | Seven Hills Behavioral Health, Inc. | Clinic/Center | 34 Gifford Street, New Bedford, MA 02744 | 2006-08-14 |
Find all providers in zip 02744 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528071230 | Seven Hills Behavioral Health, Inc. | Clinic/Center | 34 Gifford Street, New Bedford, MA 02744 | 2006-08-14 |
1639622749 | Northstar Learning Centers Inc. | Clinic/Center | 53 Linden St, New Bedford, MA 02740-6904 | 2016-07-26 |
1851434922 | Kiosk Inc | Clinic/Center | 251 Walnut St, New Bedford, MA 02740-4964 | 2007-02-15 |
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---|---|---|---|---|
1083221014 | The Wellness Point | Clinic/Center | 569a Springfield St, Feeding Hills, MA 01030-2105 | 2020-09-24 |
1629689153 | Be Well Medica, LLC | Clinic/Center | 38 Willard Grant Rd, Sudbury, MA 01776-1035 | 2020-08-10 |
1649896283 | Community Health Center of Cape Cod, Inc. | Clinic/Center | 90 Route 6a, Sandwich, MA 02563-5301 | 2020-06-19 |
1194344713 | Snooze Laboratories, Inc | Clinic/Center | 122 Chestnut St Apt 101, Springfield, MA 01103-1541 | 2020-04-14 |
1861024457 | Treehouse Center for Sensory Integration | Clinic/Center | 19 Muzzey St # L20, Lexington, MA 02421-5256 | 2020-02-11 |
1982262184 | Nationwide Health Advocates LLC | Clinic/Center | 5 Pleasant St Ste 1, Methuen, MA 01844-3195 | 2019-06-03 |
1538622436 | Onduo Professionals of Texas, P.a. | Clinic/Center | 55 Chapel St Ste 200, Newton, MA 02458-1070 | 2019-04-09 |
1801357454 | Kelly Dumay Pogeyed Tuguinay | Clinic/Center | 2 Mcdewell Ave Apt 17, Danvers, MA 01923-3335 | 2019-03-27 |
1760949192 | Elizabeth Apkin Psyd LLC | Clinic/Center | 1577 Beacon St Ste D, Brookline, MA 02446-4602 | 2019-02-21 |
1578027975 | Chinne Health Systems LLC | Clinic/Center | 330 Lynnway Ste 112, Lynn, MA 01901-1706 | 2019-01-30 |
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.