Kennedy Donovan Center
NPI 1386001105ActiveOrganization· Specialist· Southbridge, MA
Specialist in Southbridge, Massachusetts, registered in NPPES in January 2016, part of Kennedy Donovan Center. The authorized official on file is Rick Bornstein, CPA, Cfo.
Overview
| NPI | 1386001105 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kennedy Donovan Center |
| NPI issued | Jan 25, 2016 |
| Last updated in NPPES | Jan 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | R32101 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Southbridge
- 1841781820
- 1164540589
- 1285928861
- 1174708747
- 1013192673
- 1629253208
- 1598089179
- 1093990673
- 1174847750
- 1265474399
- 1265469076
- 1851543508