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WAYSIDE YOUTH AND FAMILY SUPPORT NETWROK
NPI 1942423165
Community/Behavioral Health in Waltham, MA

Active since April 10, 2007
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 And Family Support Netwrok NPPES

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

WAYSIDE YOUTH AND FAMILY SUPPORT NETWROK (NPI 1942423165) is a healthcare organization registered as a community/behavioral health in Waltham, Massachusetts and active in the NPI registry since April 2007. The organization lists Michelle S Henriquez, Youth Support Worker, as its authorized official.

NPPES Registry Identity

NPI1942423165
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWAYSIDE YOUTH AND FAMILY SUPPORT NETWROK
Location Address118 CENTRAL STWaltham, MA 02453-5465
Mailing Address118 Central StWaltham, MA 02453-5465 · (781) 891-0556
Phone(781) 891-0556
Organization SubpartNo
Authorized OfficialMichelle S HenriquezYouth Support Worker · (781) 891-0556
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942423165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
118 CENTRAL ST, Waltham, MA 02453
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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 And Family Support Netwrok's NPI number?

The NPI number for Wayside Youth And Family Support Netwrok is 1942423165. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Wayside Youth And Family Support Netwrok located?

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

What is Wayside Youth And Family Support Netwrok's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Wayside Youth And Family Support Netwrok 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.