WALNUT STREET CENTER, INC
NPI 1962532861
Day Training, Developmentally Disabled Services in Somerville, MA

Active since March 07, 2007CLIA 22D1062126 · Waiver
71 LINWOOD ST, SOMERVILLE, MA 02143(617) 776-1448(617) 629-3568 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walnut Street Center, Inc NPPES

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

WALNUT STREET CENTER, INC (NPI 1962532861) is a healthcare organization registered as a day training, developmentally disabled services in Somerville, Massachusetts and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists John D Keegan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1962532861
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameWALNUT STREET CENTER, INC
Location Address71 LINWOOD STSomerville, MA 02143-2112
Mailing Address300 Somerville AveSomerville, MA 02143-3307 · (617) 776-1448 · Fax (617) 629-3568
Fax(617) 629-3568
Organization SubpartNo
Authorized OfficialJohn D KeeganExecutive Director · (617) 776-1448
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1962532861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
71 LINWOOD ST, Somerville, MA 02143

Other Identifiers 1

Medicaid1317555MA

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 22D1062126

Walnut Street Center Inc · Medford, MA
Active · expires Dec 5, 2026
CLIA Number22D1062126
Laboratory TypeGroup Home For Intel Dis
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorEva Osagiede
Laboratory Phone(617) 776-1448
Laboratory LocationWalnut Street Center Inc291 Mystic Ave, Medford, MA 02155
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Walnut Street Center, Inc's NPI number?

The NPI number for Walnut Street Center, Inc is 1962532861. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Walnut Street Center, Inc located?

Walnut Street Center, Inc is located at 71 Linwood St, Somerville, MA 02143. The listed phone number is (617) 776-1448.

What is Walnut Street Center, Inc's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Does Walnut Street Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D1062126) is associated with this NPI, valid through December 5, 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 Walnut Street Center, Inc 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.