| Spectrum Health Systems, Inc | |
|
585 Lincoln St Worcester MA 01605-1906 | |
| (508) 854-3320 | |
| (508) 753-5051 |
| Full Name | Spectrum Health Systems, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 585 Lincoln St, Worcester, Massachusetts |
| Authorized Official Name and Position | Janet J Langlois (CFO/TREASURER) |
| Authorized Official Contact | 5087925400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Systems, Inc 10 Mechanic St. Suite 302 Worcester MA 01608 Ph: (508) 792-5400 | Spectrum Health Systems, Inc 585 Lincoln St Worcester MA 01605-1906 Ph: (508) 854-3320 |
| NPI Number | 1346430253 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 04/29/2015 |
| Medicare PECOS PAC ID | 8224017082 |
|---|---|
| Medicare Enrollment ID | O20040715000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346430253 | NPI | - | NPPES |
| 1308785 | Medicaid | MA | |
| 000000008463 | Other | MA | BMC HEALTHNET |
| 1002900 | Other | MA | BEACON |
| 1306421 | Other | MA | MBHP |
| 690527 | Other | MA | TUFTS |
| M18684 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Alfredo Chan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891746814 PECOS PAC ID: 6507760758 Enrollment ID: I20031120000530 |
| Provider Name | Rogelio D Bayog |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487649208 PECOS PAC ID: 6901798156 Enrollment ID: I20040325000260 |
| Provider Name | Jeffrey D Baxter |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1407866619 PECOS PAC ID: 0840282141 Enrollment ID: I20040330000555 |
| Provider Name | James B Broadhurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457334351 PECOS PAC ID: 8123002813 Enrollment ID: I20040618000222 |
| Provider Name | Lori Dilorenzo |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1023093945 PECOS PAC ID: 6507963485 Enrollment ID: I20070530000188 |
| Provider Name | Phoebe A Cushman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558577478 PECOS PAC ID: 3072544030 Enrollment ID: I20071119000113 |
| Provider Name | Mia Sorcinelli Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538362074 PECOS PAC ID: 0840324802 Enrollment ID: I20100813000156 |
| Provider Name | Todd A Kerensky |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1033371299 PECOS PAC ID: 9537307541 Enrollment ID: I20130604000245 |
| Provider Name | Molly Z Rivest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043692205 PECOS PAC ID: 4082922935 Enrollment ID: I20150928000211 |
| Provider Name | Wendy L Leffel |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1598022204 PECOS PAC ID: 4082862446 Enrollment ID: I20160901001396 |
| Provider Name | Benjamin Scott Alfred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366778953 PECOS PAC ID: 6406143890 Enrollment ID: I20160928002873 |
| Provider Name | Amy L Kasik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528204583 PECOS PAC ID: 2163710708 Enrollment ID: I20161013001339 |
| Provider Name | Katelyn Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922369560 PECOS PAC ID: 9537445507 Enrollment ID: I20170406001985 |
| Provider Name | Joanne R Featherston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164829420 PECOS PAC ID: 7214295831 Enrollment ID: I20180103000109 |
| Provider Name | Megan L Gajewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881174050 PECOS PAC ID: 0648520585 Enrollment ID: I20180913002254 |
| Provider Name | Terri L Boettcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063815348 PECOS PAC ID: 8426302241 Enrollment ID: I20181114002632 |
| Provider Name | Brittany E Titus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780052563 PECOS PAC ID: 8921342262 Enrollment ID: I20181127003349 |
| Provider Name | Amberly M Chaplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538484035 PECOS PAC ID: 4587900386 Enrollment ID: I20190116000958 |
| Provider Name | Qaiser Shamshir Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861806192 PECOS PAC ID: 7012215189 Enrollment ID: I20190402001971 |
| Provider Name | Rachel J Sasseviille |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699209924 PECOS PAC ID: 3779824446 Enrollment ID: I20190405000862 |
| Provider Name | Melissa A Bugeau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922405927 PECOS PAC ID: 9739420084 Enrollment ID: I20190415000474 |
| Provider Name | George Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801452040 PECOS PAC ID: 8527391630 Enrollment ID: I20190605000078 |
| Provider Name | Laura M Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356820914 PECOS PAC ID: 9739511411 Enrollment ID: I20191119000221 |
| Provider Name | Jorge Finke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790218105 PECOS PAC ID: 7911271911 Enrollment ID: I20201016001934 |
| Provider Name | Sharif R Nankoe |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1780945089 PECOS PAC ID: 8628376530 Enrollment ID: I20201109001392 |
| Provider Name | Jennifer Puccio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053872473 PECOS PAC ID: 6901206945 Enrollment ID: I20210614002454 |
| Provider Name | Tanisha Stowers Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063094944 PECOS PAC ID: 0648671180 Enrollment ID: I20210622002015 |
| Provider Name | Ashley J Wilock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043539703 PECOS PAC ID: 6002228848 Enrollment ID: I20210628000340 |
| Provider Name | Samantha Fazioli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255824462 PECOS PAC ID: 0840695151 Enrollment ID: I20210825001855 |
| Provider Name | Jessica Brunner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821482613 PECOS PAC ID: 1557759248 Enrollment ID: I20211029000887 |
| Provider Name | Alicia D Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083047393 PECOS PAC ID: 0840689618 Enrollment ID: I20211116002850 |
| Provider Name | Leslie A. Mulcahy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255450789 PECOS PAC ID: 4688053887 Enrollment ID: I20220617002064 |
| Provider Name | Shannon R Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013584051 PECOS PAC ID: 1355753294 Enrollment ID: I20220623000359 |
| Provider Name | Stefania S Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083353338 PECOS PAC ID: 8729454517 Enrollment ID: I20221019001893 |
| Provider Name | Ashley L Oliveri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437708203 PECOS PAC ID: 4880063684 Enrollment ID: I20221219001155 |
| Provider Name | Kyle J Robichaud-fuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043741077 PECOS PAC ID: 6204100217 Enrollment ID: I20230613000092 |
| Provider Name | Debra Joy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447386891 PECOS PAC ID: 3274985189 Enrollment ID: I20240116004021 |
| Provider Name | Christina M Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710334792 PECOS PAC ID: 9032552682 Enrollment ID: I20240210000052 |
| Provider Name | Sandra Beatty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750420691 PECOS PAC ID: 2466535596 Enrollment ID: I20240213000504 |
| Provider Name | Megan E. Tillinghast |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750726220 PECOS PAC ID: 9830533017 Enrollment ID: I20240215001613 |
| Provider Name | Kari E. Mathes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194258889 PECOS PAC ID: 9335583533 Enrollment ID: I20240215002251 |
| Provider Name | Shannon Kohnke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508371261 PECOS PAC ID: 7315381514 Enrollment ID: I20240215002321 |
| Provider Name | Cindy A Kay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891881488 PECOS PAC ID: 7113361320 Enrollment ID: I20240215002399 |
| Provider Name | Thomas R. Gould |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316242837 PECOS PAC ID: 0648614297 Enrollment ID: I20240222000594 |
| Provider Name | Lisa M. Blanchard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417096298 PECOS PAC ID: 9537503198 Enrollment ID: I20240222001004 |
| Provider Name | Jacqueline A Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457828576 PECOS PAC ID: 3870937394 Enrollment ID: I20240222003347 |
| Provider Name | Jessica F Volpe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811259864 PECOS PAC ID: 9032554498 Enrollment ID: I20240226002633 |
| Provider Name | Janelle Dextradeur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447780721 PECOS PAC ID: 8325483795 Enrollment ID: I20240226002957 |
| Provider Name | Myungwoo Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366967341 PECOS PAC ID: 1951746320 Enrollment ID: I20240226003025 |
| Provider Name | Kaymo Timmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275863094 PECOS PAC ID: 4587009956 Enrollment ID: I20240226003086 |
| Provider Name | Rachel A Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336578921 PECOS PAC ID: 7517302169 Enrollment ID: I20240305002443 |
| Provider Name | Michelle B Supple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992804421 PECOS PAC ID: 1658716212 Enrollment ID: I20240305002701 |
| Provider Name | Lynn Leblanc-marrone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194835595 PECOS PAC ID: 8426494568 Enrollment ID: I20240311003373 |
| Provider Name | Alexa Burnham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073860482 PECOS PAC ID: 0547606683 Enrollment ID: I20240311003629 |
| Provider Name | Heather E Elliott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003137985 PECOS PAC ID: 3274979323 Enrollment ID: I20240311003684 |
| Provider Name | Erin M Granger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861831612 PECOS PAC ID: 9436595584 Enrollment ID: I20240311003719 |
| Provider Name | Jessica L Melendez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679133151 PECOS PAC ID: 4880030972 Enrollment ID: I20240312001020 |
| Provider Name | Colleen D Ferrera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740387794 PECOS PAC ID: 3870939630 Enrollment ID: I20240314003527 |
| Provider Name | Joshua Diggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083309561 PECOS PAC ID: 0941646715 Enrollment ID: I20240314003634 |
| Provider Name | Eralda Bango |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306247226 PECOS PAC ID: 4385080159 Enrollment ID: I20240314003710 |
| Provider Name | Jill A Mckiernan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184072431 PECOS PAC ID: 2668818386 Enrollment ID: I20240315001808 |
| Provider Name | Mark Mcvaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407098221 PECOS PAC ID: 1052758307 Enrollment ID: I20240321002392 |
| Provider Name | Alyssa Horlbogen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467703967 PECOS PAC ID: 3375980493 Enrollment ID: I20240326000650 |
| Provider Name | Katrina Casey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184489007 PECOS PAC ID: 2860830478 Enrollment ID: I20240402001920 |
| Provider Name | Rose G Larkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881022242 PECOS PAC ID: 6204277593 Enrollment ID: I20240517001299 |
| Provider Name | Vanessa Fuentes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992366728 PECOS PAC ID: 7810339074 Enrollment ID: I20240521000296 |
| Provider Name | Kristin Leonard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912474842 PECOS PAC ID: 4981046141 Enrollment ID: I20240521000376 |
| Provider Name | Mark J Joyce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447768445 PECOS PAC ID: 8729520333 Enrollment ID: I20240611003127 |
Olivia Homan, Licsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Cedar St, Worcester, MA 01609 Phone: 617-581-2267 | |
Autism Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Sterling St, Worcester, MA 01610 Phone: 508-321-3055 Fax: 508-321-3055 | |
James P. Bresnahan Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 55 Cedar St, Worcester, MA 01609 Phone: 508-752-1170 Fax: 508-752-1800 | |
Community Health Link Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-438-5578 Fax: 508-860-1023 | |
Guided Growth Therapy Collective Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Falcon St, Worcester, MA 01603 Phone: 508-769-2766 | |
Ld Psych Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Allston Ave, Worcester, MA 01604 Phone: 508-356-4495 | |
Hope Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Park Ave, Worcester, MA 01610 Phone: 508-713-1191 |