RIVERSIDE COMMUNITY CARE
NPI 1174907000
Community/Behavioral Health in Somerville, MA
NPI Status: Active since July 09, 2015
Contact Information
12 TYLER ST
SOMERVILLE, MA
ZIP 02143
Phone: (781) 364-0940
- Organization
- Community/Behavioral Health
- CLIA Number: 22D2292111
- CLIA Cert. Type: Other - OUTPATIENT BEHAVIORAL HTH
- CLIA Exp. Date: 10-19-2027
About RIVERSIDE COMMUNITY CARE
This page provides the complete NPI Profile along with additional information for Riverside Community Care, a provider established in Somerville, Massachusetts operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1174907000 assigned on July 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Jacqueline Marie Fickes (Intensive Care Coordinator)
- NPI
- 1174907000
- Provider Name
- RIVERSIDE COMMUNITY CARE
- Entity Type
- Organization
- Location Address
- 12 TYLER ST SOMERVILLE, MA 02143
- Location Phone
- (781) 364-0940
- Mailing Address
- 12 TYLER ST SOMERVILLE, MA 02143
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-09-2015
- Last Update Date
- 07-09-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D2292111
- Facility Type
- Other - OUTPATIENT BEHAVIORAL HTH
- Certificate Effective Date
- October 20, 2025
- Certificate Expiration Date
- October 19, 2027
- Laboratory Director
- ASIA TAYLOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Riverside Community Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174907000, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SOMERVILLE, MA 02143
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174907000, enumerated as an "organization" on July 09, 2015.
The provider is located at 12 TYLER ST SOMERVILLE, MA 02143 and the phone number is (781) 364-0940.
Community/Behavioral Health with taxonomy code 251S00000X.
