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THE COMMONWEALTH OF MASSACHUSETTS NPI 1275680456


NPI Information

NPI: 1275680456
Provider Name: THE COMMONWEALTH OF MASSACHUSETTS

Doing Business As: WORCESTER RECOVERY CENTER & HOSPITAL GROUP PRACTICE

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 22D1042771

Address:
309 BELMONT ST
WORCESTER, MA
ZIP 01604
Phone: (508) 368-4000
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THE COMMONWEALTH OF MASSACHUSETTS is a psychiatry psychiatry neurology in Worcester, MA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. THE COMMONWEALTH OF MASSACHUSETTS NPI is 1275680456. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Worcester Recovery Center & Hospital Group Practice.

The provider's business location address is:

309 BELMONT ST
WORCESTER, MA
ZIP 01604-695
Phone: (508) 368-4000
Fax: (508) 368-1502

The provider's authorized official is Anthony J Riccitelli .
The authorized official title is Chief Operating Officer and has the following contact phone number (508) 368-3461.

The CLIA number assigned to this NPI record is 22D1042771 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 2/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4364S00000XClinical Nurse SpecialistNo
52084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1224010MEDICARE ID-TYPE UNSPECIFIEDWSH GROUP PRACTICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.