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KENNEDY DONOVAN CENTER
NPI 1386001105
Specialist in Southbridge, MA

Active since January 25, 2016
486 WORCESTER ST, SOUTHBRIDGE, MA 01550(508) 765-0292(508) 765-0294 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Donovan Center NPPES

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

KENNEDY DONOVAN CENTER (NPI 1386001105) is a healthcare organization registered as a specialist in Southbridge, Massachusetts and active in the NPI registry since January 2016. The organization lists Rick Bornstein, Cfo, as its authorized official.

NPPES Registry Identity

NPI1386001105
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKENNEDY DONOVAN CENTER
Location Address486 WORCESTER STSouthbridge, MA 01550-1386
Mailing Address1 Commercial StFoxboro, MA 02035-2530 · (508) 772-1230 · Fax (508) 203-8714
Phone(508) 765-0292
Fax(508) 765-0294
Organization SubpartYes
Authorized OfficialRick BornsteinCfo · (508) 772-1230
Enumeration DateJanuary 25, 2016
✔ NPI 1386001105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · R32101
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
486 WORCESTER ST, Southbridge, MA 01550
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

KATHY T. RUTKIN
Developmental Therapist
486 WORCESTER ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-0292
ELIZABETH BITGOOD
Registered Nurse (Pediatrics)
486 WORCESTER ST, KENNEDY DONOVAN CENTER
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-0292
NICOLE ELLSWORTH
Developmental Therapist
486 WORCESTER ST, KENNEDY DONOVAN CENTER
SOUTHBRIDGE, MA 01550
Worcester County (508) 367-2338
MRS. JULIANNE COOKE MA, CCC-SLP
Speech-Language Pathologist
486 WORCESTER ST, KENNEDY DONOVAN CENTER
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-0292
CATHERINE SARAH VEROSTICK
Developmental Therapist
486 WORCESTER ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-0292
ANDREA DEPATIE
Counselor (School)
486 WORCESTER ST, KENNEDY DONOVAN CENTER
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-0292
JAIME NIEDZWIECKI
Developmental Therapist
486 WORCESTER ST, KENNEDY DONOVAN CENTER
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-0292
JESSICA GELINEAU
Developmental Therapist
486 WORCESTER ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-0292

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 Kennedy Donovan Center's NPI number?

The NPI number for Kennedy Donovan Center is 1386001105. It was assigned to this organization in the NPPES registry on January 25, 2016.

Where is Kennedy Donovan Center located?

Kennedy Donovan Center is located at 486 Worcester St, Southbridge, MA 01550. The listed phone number is (508) 765-0292.

What is Kennedy Donovan Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kennedy Donovan Center was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.