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CEDARDALE INC.
NPI 1104229574
Clinic/Center - Health Service in Haverhill, MA

Active since September 30, 2014CLIA 22D2067387 · Waiver
931 BOSTON RD, HAVERHILL, MA 01835(978) 373-1596 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cedardale Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDARDALE INC. (NPI 1104229574) is a healthcare organization registered as a health service in Haverhill, Massachusetts and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Judy Wentworth, Controller, as its authorized official.

NPPES Registry Identity

NPI1104229574
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCEDARDALE INC.
Location Address931 BOSTON RDHaverhill, MA 01835-6927
Mailing Address931 Boston RdHaverhill, MA 01835-6927 · (978) 373-1596
Phone(978) 373-1596
Organization SubpartNo
Authorized OfficialJudy WentworthController · (978) 373-1596
Enumeration DateSeptember 30, 2014
Last NPPES UpdateDecember 23, 2014
✔ NPI 1104229574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in MA · 000003634
931 BOSTON RD, Haverhill, MA 01835
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2067387

Cedardale Health & Fitness · Haverhill, MA
Active · expires Oct 14, 2027
CLIA Number22D2067387
Laboratory TypeHealth Fair
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorSamantha J. Mccarthy
Laboratory Phone(978) 373-1596
Laboratory LocationCedardale Health & Fitness931 Boston Road, Haverhill, MA 01835
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL RYAN THOMPSON LAT, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
931 BOSTON RD
HAVERHILL, MA 01835
Essex County (978) 373-1596
AUDRA LISA HARRIS MOT, OTR/L
Occupational Therapist
931 BOSTON RD
HAVERHILL, MA 01835
Essex County (978) 241-9177
JAMIE BURGER RD
Dietitian, Registered (Nutrition, Obesity and Weight Management)
931 BOSTON RD
HAVERHILL, MA 01835
Essex County (978) 373-1596
MR. DAVID EARLE WARWICK JR. ATC
Clinic/Center (Physical Therapy)
931 BOSTON RD
HAVERHILL, MA 01835
Essex County (978) 521-1186
MRS. STEPHANIE COLE DPT
Physical Therapist
931 BOSTON RD
HAVERHILL, MA 01835
Essex County (978) 241-9177
SAMANTHA MCCARTHY MS, RD
Dietitian, Registered
931 BOSTON RD
HAVERHILL, MA 01835
Essex County (978) 373-1596
MAEGAN AUCIELLO
Physical Therapist
931 BOSTON RD
HAVERHILL, MA 01835
Essex County (978) 241-9177
JENNIFER LOUISE HOGG ATC
Specialist/Technologist (Athletic Trainer)
931 BOSTON RD
HAVERHILL, MA 01835
Essex County (603) 681-3570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedardale Inc.'s NPI number?

The NPI number for Cedardale Inc. is 1104229574. It was assigned to this organization in the NPPES registry on September 30, 2014.

Where is Cedardale Inc. located?

Cedardale Inc. is located at 931 Boston Rd, Haverhill, MA 01835. The listed phone number is (978) 373-1596.

What is Cedardale Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Cedardale Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2067387) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cedardale Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Cedardale Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cedardale Inc. was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.