CLEGHORN PROFESSIONAL COUNSELING CENTER
NPI 1598052664
Clinic/Center - Adult Mental Health in Fitchburg, MA

Active since July 08, 2011
63 FAIRMOUNT ST, FITCHBURG, MA 01420(978) 342-2709 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Adult Mental Health

About CLEGHORN PROFESSIONAL COUNSELING CENTER

This page provides the complete NPI Profile along with additional information for Cleghorn Professional Counseling Center, a provider established in Fitchburg, Massachusetts operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1598052664 assigned on July 2011. The practitioner's primary taxonomy code is 261QM0850X with license number 7433 (MA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dennis Anthony Bradley (Clinical Director)

NPI
1598052664 Verify this NPI
Provider Name
CLEGHORN PROFESSIONAL COUNSELING CENTER
Entity Type
Organization
Location Address
63 FAIRMOUNT ST FITCHBURG, MA 01420
Location Phone
(978) 342-2709
Mailing Address
63 FAIRMOUNT ST FITCHBURG, MA 01420
Mailing Phone
(978) 342-2709
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2011
Last Update Date
07-08-2011
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
7433
License State
MA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENNIS ANTHONY BRADLEY

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(978) 342-2709

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
63 FAIRMOUNT ST
FITCHBURG, MA 01420
Counselor (Mental Health)
63 FAIRMOUNT ST
FITCHBURG, MA 01420
Counselor (Mental Health)
63 FAIRMOUNT ST
FITCHBURG, MA 01420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598052664, enumerated as an "organization" on July 08, 2011.

The provider is located at 63 FAIRMOUNT ST FITCHBURG, MA 01420 and the phone number is (978) 342-2709.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.