WOBURN WELLNESS
NPI 1609355668
Substance Abuse Rehabilitation Facility in Woburn, MA

Active since August 10, 2018
53 CUMMINGS PARK, WOBURN, MA 01801(339) 999-2722 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Woburn Wellness NPPES

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

WOBURN WELLNESS (NPI 1609355668) is a healthcare organization registered as a substance abuse rehabilitation facility in Woburn, Massachusetts and active in the NPI registry since August 2018. The organization lists Pierce Michael Aliberti, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1609355668
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEVERGREEN BEHAVIORAL LLC
Location Address53 CUMMINGS PARKWoburn, MA 01801-2123
Mailing Address53 Cummings ParkWoburn, MA 01801-2123
Organization SubpartNo
Authorized OfficialPierce Michael AlibertiCo-owner · (781) 572-2578
Enumeration DateAugust 10, 2018
NPI 1609355668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in MA · 0212
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
53 CUMMINGS PARK, Woburn, MA 01801

Other Names 1

Doing Business AsWoburn Wellness

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 22D2152126

Evergreen Behavioral, LLC · Woburn, MA
Expired · Aug 2, 2026
CLIA Number22D2152126
Laboratory TypeSud Day Treatment/Iop
Certificate Effective DateAugust 3, 2024
Certificate Expiration DateAugust 2, 2026
Laboratory DirectorMr. Joanne F. Tarantino
Laboratory Phone(781) 484-0195
Laboratory LocationEvergreen Behavioral, LLC55 Cummings Park, Woburn, MA 01801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
53 CUMMINGS PARK
WOBURN, MA 01801
Counselor (Professional)
53 CUMMINGS PARK
WOBURN, MA 01801

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 Evergreen Behavioral LLC's NPI number?

The NPI number for Evergreen Behavioral LLC is 1609355668. It was assigned to this organization in the NPPES registry on August 10, 2018. The provider is doing business as Woburn Wellness.

Where is Evergreen Behavioral LLC located?

Evergreen Behavioral LLC is located at 53 Cummings Park, Woburn, MA 01801. The listed phone number is (339) 999-2722.

What is Evergreen Behavioral LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Evergreen Behavioral LLC was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.