NORTH CENTRAL HUMAN SERV INC (NPI# 1982736633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982736633 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL HUMAN SERV INC |
| Practice Address |
31 Lake St Gardner MA 01440-3879 |
| Mailing Address |
Po Box 449 31 Lake St Gardner MA 01440 |
| Practice Telephone | 9786329400 |
| Practice Fax Number | 9786329218 |
| Mailing Telephone | 9786329400 |
| Mailing Fax Number | 9786329218 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSAN GOLDSTEIN (PRESIDENT BOARD OF DIRECTORS) |
| Authorized Official Telephone | 9786329400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities | ||
| X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 720564 | 01 |
| MA | BCBS OF MA | M13636 | 01 |
| MA | 1302604 | 05 |
| Street Address |
31 LAKE ST |
| City | GARDNER |
| State | MA |
| Zip Code | 01440-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962412841 | Kathy Lynn Hall | Counselor | 31 Lake St, Suite 110, Gardner, MA 01440-3879 | 2006-08-09 |
| 1386149359 | Elizabeth Jane Ledeboer | Speech-Language Pathologist | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-29 |
| 1558866921 | Julie Ann Blake | Health Educator | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-28 |
| 1669974960 | Karen Jay Brocksmith | Developmental Therapist | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-02 |
| 1295237758 | Sarah Doiron | Speech-Language Pathologist | 31 Lake St, Gardner, MA 01440 | 2018-03-01 |
| 1750883328 | April Lynne Saner | Developmental Therapist | 31 Lake St, Gardner, MA 01440-3879 | 2018-02-28 |
| 1568917094 | Colby L Monette | Counselor | 31 Lake St, Gardner, MA 01440-3879 | 2016-08-25 |
| 1083167720 | Mary Ann Cynthia Kairouz | Counselor | 31 Lake St, Gardner, MA 01440-3879 | 2016-07-29 |
| 1720445406 | Melanie M Barber | Social Worker | 31 Lake St, Gardner, MA 01440-3879 | 2016-01-26 |
| 1538524780 | Amanda Gallant | Day Training/Habilitation Specialist | 31 Lake St, Gardner, MA 01440-3879 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
| 1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
| 1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
| 1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
| Find all providers in zip 01440 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013444751 | Camille Merian | Clinic/Center | 148 Washington St, Norwell, MA 02061-1753 | 2017-05-12 |
| 1750833661 | Ambulatory Care Physicians | Clinic/Center | 30 Locust St, Northampton, MA 01060-2052 | 2016-10-26 |
| 1013314764 | Linda Hammond | Clinic/Center | 332 Washington Street, Holliston, MA 01746 | 2014-11-24 |
| 1801298179 | Town of Greenfield | Clinic/Center | 412 Main St, Greenfield, MA 01301-3305 | 2014-09-18 |
| 1174925499 | Melanie Tepel | Clinic/Center | 206 Milford St, Upton, MA 01568-1309 | 2014-09-17 |
| 1902043136 | Riverside Community Care | Clinic/Center | 206 Milford Street, Upton, MA 01568-1309 | 2009-01-09 |
| 1053557421 | Boston Emergency Services Team North Suffolk | Clinic/Center | 85 E Newton St, M802, Boston, MA 02118-2340 | 2009-01-06 |
| 1295970200 | Boston Emergency Services Team Mgh Emergency | Clinic/Center | 85 E Newton St, M802, Boston, MA 02118-2340 | 2008-12-04 |
| 1861637969 | Boston Emergency Services Emergency Bmc | Clinic/Center | 85 E Newton St, M802, Boston, MA 02118-2340 | 2008-12-04 |
| 1538131214 | Vhs Acquisition Subsidiary Number 7 Inc | Clinic/Center | 123 Summer St, Worcester, MA 01608-1216 | 2006-02-06 |
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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.