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HAVEN NEW ENGLAND: MH
NPI 1376325720
Community Based Residential Treatment Facility, Mental Illness in Worcester, MA

Active since October 19, 2023
1369 GRAFTON ST, WORCESTER, MA 01604(561) 635-2400 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haven New England: Mh NPPES

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

HAVEN NEW ENGLAND: MH (NPI 1376325720) is a healthcare organization registered as a community based residential treatment facility, mental illness in Worcester, Massachusetts and active in the NPI registry since October 2023. The organization lists Kirill Vesselov, President, as its authorized official.

NPPES Registry Identity

NPI1376325720
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameHAVEN NEW ENGLAND: MH
Location Address1369 GRAFTON STWorcester, MA 01604-2737
Mailing Address2925 10th Ave NPalm Springs, FL 33461-3000
Phone(561) 635-2400
Organization SubpartYesParent: Haven Detox Ma
Authorized OfficialKirill VesselovPresident · (561) 635-2400
Enumeration DateOctober 19, 2023
NPPES CertifiedOctober 19, 2023
✔ NPI 1376325720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1369 GRAFTON ST, Worcester, MA 01604
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Other Providers at the Same Location NPPES 11

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

LETICIA ADRIANA FLORES
Social Worker (Clinical)
1369 GRAFTON ST
WORCESTER, MA 01604
Worcester County (857) 341-4633
MR. CHRISTOPHER GIANFRIDDO OTR/L
Occupational Therapist
1369 GRAFTON ST
WORCESTER, MA 01604
Worcester County (508) 373-7400
JANET PELLETTI
Physical Therapist (Geriatrics)
1369 GRAFTON ST
WORCESTER, MA 01604
Worcester County (508) 373-7400
DR. PETRA KAJLA M.D.
Internal Medicine
1369 GRAFTON ST
WORCESTER, MA 01604
Worcester County (508) 373-7400
HAVEN DETOX MA OPERATING SUBSIDIARY, LLC
Community Based Residential Treatment Facility, Mental Illness
1369 GRAFTON ST
WORCESTER, MA 01604
Worcester County (508) 522-3180
NICOLE DESABRAIS LICSW
Social Worker (Clinical)
1369 GRAFTON ST
WORCESTER, MA 01604
Worcester County (508) 373-7400
PATRICIA ANN LAZAREK LICSW
Social Worker (Clinical)
1369 GRAFTON ST
WORCESTER, MA 01604
Worcester County (508) 373-7414
MARIE JOHANNE JOSEPH
Nurse Practitioner (Psychiatric/Mental Health)
1369 GRAFTON ST
WORCESTER, MA 01604
Worcester County (855) 614-0111

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 Haven New England: Mh's NPI number?

The NPI number for Haven New England: Mh is 1376325720. It was assigned to this organization in the NPPES registry on October 19, 2023.

Where is Haven New England: Mh located?

Haven New England: Mh is located at 1369 Grafton St, Worcester, MA 01604. The listed phone number is (561) 635-2400.

What is Haven New England: Mh's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Haven New England: Mh was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.