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CHARLES RIVER COMMUNITY HEALTH, INC
NPI 1750486106
Clinic/Center - Federally Qualified Health Center (FQHC) in Waltham, MA

Active since September 13, 2006
43 FOUNDRY AVE STE 110, WALTHAM, MA 02453(781) 693-3800(781) 693-3817 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2026, Mar 17, 2018, Mar 8, 2018 (3 updates tracked since 2018).

About Charles River Community Health, Inc NPPES

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

CHARLES RIVER COMMUNITY HEALTH, INC (NPI 1750486106) is a healthcare organization registered as a federally qualified health center (fqhc) in Waltham, Massachusetts and active in the NPI registry since September 2006. The organization lists Matthew Lockwood Mullaney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750486106
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHARLES RIVER COMMUNITY HEALTH, INC
Location Address43 FOUNDRY AVE STE 110Waltham, MA 02453-8313
Mailing Address495 Western AveBrighton, MA 02135-1007 · (781) 693-3800 · Fax (781) 693-3817
Phone(781) 693-3800
Fax(781) 693-3817
Organization SubpartNo
Authorized OfficialMatthew Lockwood MullaneyCeo · (617) 783-0500
Enumeration DateSeptember 13, 2006
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1750486106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in MA · 4157
43 FOUNDRY AVE STE 110, Waltham, MA 02453
Open in Google Maps ↗

Other Identifiers 8

Other2227002110MA · Bcbs
Medicaid1320882MA
OtherW20419MA · Bcbs - Optometry
Other903699MA · Tufts Health Plan - Mh
OtherM12043MA · Bcbs Medical/podiatry
Other686893MA · Tufts Health Plan
Medicaid110024306TMA
Other682536MA · Tufts Health Plan - Med

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles River Community Health, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

38

Medicare enrollment records show 38 clinicians reassign Medicare billing to Charles River Community Health, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner15
Optometry4
Pediatric Medicine4
Clinical Social Worker3
Internal Medicine3
Oral Surgery3
Mental Health Counselor2
Psychiatry2
2 other specialties2

Nearest to this location (20)

See all 38
Taylor Antonellis, FNP-C
Nurse Practitioner
NPI 1144957036
43 FOUNDRY AVE STE 110
Waltham, MA 02453
(781) 693-3800
✔ PECOS✔ Accepts MedicareSame address
Kara Palmberg, NP
Nurse Practitioner
NPI 1013614338
43 FOUNDRY AVE
Waltham, MA 02453
(781) 693-3800
✔ PECOS✔ Accepts MedicareSame address
Mark Drews, MD
Internal Medicine
NPI 1184693616
564 MAIN ST
Waltham, MA 02452
(781) 693-3800
✔ PECOS✔ Accepts Medicare0.9 mi
Margaret Duddy, APRN
Nurse Practitioner
NPI 1528342193
564 MAIN ST
Waltham, MA 02452
(781) 693-3800
✔ PECOS✔ Accepts Medicare0.9 mi
Abigail Turkington
Nurse Practitioner
NPI 1952610156
564 MAIN ST
Waltham, MA 02452
(781) 693-3800
✔ PECOS✔ Accepts Medicare0.9 mi
Victoria Perinsky, D.M.D.
Oral Surgery
NPI 1457429110
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS3.9 mi
Rossana Sciolla, LICSW
Clinical Social Worker
NPI 1770716748
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS✔ Accepts Medicare3.9 mi
Ana Torres-Houssami, D.M.D.
Oral Surgery
NPI 1427126143
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS3.9 mi
Nneka Adichie, DO
Family Practice
NPI 1306472527
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS✔ Accepts Medicare3.9 mi
Paul Allen, MD
Internal Medicine
NPI 1174660732
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS✔ Accepts Medicare3.9 mi
Klavdia Brisson, DNP
Nurse Practitioner
NPI 1114338530
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS✔ Accepts Medicare3.9 mi
Jane Brown, M.D.
Pediatric Medicine
NPI 1538115985
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS3.9 mi
Tingxiao Chen, LMHC
Mental Health Counselor
NPI 1780484618
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS✔ Accepts Medicare3.9 mi
Taylor D'elia, FNP
Nurse Practitioner
NPI 1346029287
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0050
✔ PECOS✔ Accepts Medicare3.9 mi
Hilary Gaiser, OD
Optometry
NPI 1225413198
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS✔ Accepts Medicare3.9 mi
Rachel Gliniecki
Clinical Social Worker
NPI 1457992489
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS✔ Accepts Medicare3.9 mi
M. Annette Hanson, M.D.
Psychiatry
NPI 1710033626
495 WESTERN AVE
Brighton, MA 02135
(617) 870-7282
✔ PECOS✔ Accepts Medicare3.9 mi
Jonathon Jimmerson, O.D.
Optometry
NPI 1972853554
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS3.9 mi
Deepti Kumra, MS
Mental Health Counselor
NPI 1316431752
495 WESTERN AVE
Brighton, MA 02135
(617) 208-1580
✔ PECOS✔ Accepts Medicare3.9 mi
Lauren Lagrega, M.D.
Pediatric Medicine
NPI 1760410492
495 WESTERN AVE
Brighton, MA 02135
(617) 783-0500
✔ PECOS3.9 mi
See all 38 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Charles River Community Health, Inc's NPI number?

The NPI number for Charles River Community Health, Inc is 1750486106. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Charles River Community Health, Inc located?

Charles River Community Health, Inc is located at 43 Foundry Ave Ste 110, Waltham, MA 02453. The listed phone number is (781) 693-3800.

What is Charles River Community Health, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Charles River Community Health, Inc enrolled in Medicare?

Yes. Charles River Community Health, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles River Community Health, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 10 Medicare specialties reassign their Medicare billing to Charles River Community Health, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Optometry (4) and Pediatric Medicine (4). Of these, 2 practice at this address and 35 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Charles River Community Health, Inc accept?

Health plans from UnitedHealthcare and WellSense Health Plan list Charles River Community Health, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles River Community Health, Inc was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.