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WAYSIDE YOUTH & FAMILY SUPPORT NETWORK
NPI 1669690467
Voluntary or Charitable in Waltham, MA

Active since April 24, 2007CLIA 22D2311395 · Waiver
118 CENTRAL ST, WALTHAM, MA 02453(781) 891-0556 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wayside Youth & Family Support Network NPPES

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

WAYSIDE YOUTH & FAMILY SUPPORT NETWORK (NPI 1669690467) is a healthcare organization registered as a voluntary or charitable in Waltham, Massachusetts and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Eric L Masi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669690467
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameWAYSIDE YOUTH & FAMILY SUPPORT NETWORK
Location Address118 CENTRAL STWaltham, MA 02453-5465
Mailing Address75 Fountain StFramingham, MA 01702-6210 · (508) 879-9800 · Fax (508) 875-1348
Phone(781) 891-0556
Organization SubpartNo
Authorized OfficialEric L MasiCeo · (508) 879-9800
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669690467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
License✔ Licensed in MA · 0592
118 CENTRAL ST, Waltham, MA 02453
Open in Google Maps ↗

Other Identifiers 4

Medicaid1803689MA
Other8710897MA · Cigna
Other6119935MA · Harvard Pilgrim
OtherEI0019MA · Blue Cross Ble Shield

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 22D2311395

Wayside Youth And Family Support Network · Framingham, MA
Active · expires Sep 19, 2026
CLIA Number22D2311395
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorSarah Mccabe
Laboratory Phone(508) 879-9800
Laboratory LocationWayside Youth And Family Support Network1 Frederick Abbott Way, Framingham, MA 01701
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

WAYSIDE YOUTH AND FAMILY SUPPORT NETWORK
Community/Behavioral Health
118 CENTRAL ST
WALTHAM, MA 02453
Middlesex County (781) 891-0555
MS. FRANCES ELLEN GREEN LICSW
Counselor (Mental Health)
118 CENTRAL ST
WALTHAM, MA 02453
Middlesex County (781) 891-0555
MR. IAN EDWARDS LICSW
Social Worker (Clinical)
118 CENTRAL ST
WALTHAM, MA 02453
Middlesex County (781) 891-0556
MR. LEON DAVID MA
Social Worker
118 CENTRAL ST
WALTHAM, MA 02453
Middlesex County (781) 891-0556
JEFFREY A ROBERTS
Counselor (Mental Health)
118 CENTRAL ST
WALTHAM, MA 02453
Middlesex County (781) 891-0556
DEIRDRE JIMENEZ
Social Worker (Clinical)
118 CENTRAL ST
WALTHAM, MA 02453
Middlesex County (781) 891-0556
ADENA WORONA
Social Worker (Clinical)
118 CENTRAL ST
WALTHAM, MA 02453
Middlesex County (781) 891-0556
MELISSA DE SOUZA
Counselor
118 CENTRAL ST
WALTHAM, MA 02453
Middlesex County (781) 891-0555

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 Wayside Youth & Family Support Network's NPI number?

The NPI number for Wayside Youth & Family Support Network is 1669690467. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Wayside Youth & Family Support Network located?

Wayside Youth & Family Support Network is located at 118 Central St, Waltham, MA 02453. The listed phone number is (781) 891-0556.

What is Wayside Youth & Family Support Network's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

Does Wayside Youth & Family Support Network hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2311395) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wayside Youth & Family Support Network was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.