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NAZARETH
NPI 1992368153
Clinic/Center - Adolescent and Children Mental Health in Leicester, MA

Active since April 15, 2019
77 MULBERRY ST, LEICESTER, MA 01524(508) 892-4886(508) 892-9736 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2020, Dec 20, 2019, Apr 15, 2019 (3 updates tracked since 2019).

About Nazareth NPPES

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

NAZARETH (NPI 1992368153) is a healthcare organization registered as an adolescent and children mental health in Leicester, Massachusetts and active in the NPI registry since April 2019. The organization lists Shelley Mangan, Director Of Finance And Development, as its authorized official.

NPPES Registry Identity

NPI1992368153
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameMCAULEY NAZARETH HOME FOR BOYS, INC.
Location Address77 MULBERRY STLeicester, MA 01524-1011
Mailing Address77 Mulberry StLeicester, MA 01524-1011 · (508) 892-4886 · Fax (508) 892-9736
Phone(508) 892-4886
Fax(508) 892-9736
Organization SubpartNo
Authorized OfficialShelley ManganDirector Of Finance And Development · (508) 892-4886
Enumeration DateApril 15, 2019
Last NPPES UpdateMay 5, 20203 updates tracked since enumeration
NPPES CertifiedMay 5, 2020
✔ NPI 1992368153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
77 MULBERRY ST, Leicester, MA 01524
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Other Names 1

Doing Business AsNazareth

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 22D2308743

Mcauley Nazareth, Inc · Leicester, MA
Expired · Aug 1, 2026
CLIA Number22D2308743
Laboratory TypeSchool/Student Health Service
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorKim Pare
Laboratory Phone(508) 892-4886
Laboratory LocationMcauley Nazareth, Inc77 Mulberry Street, Leicester, MA 01524
CLIA data matches this NPI record on: Address 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 Mcauley Nazareth Home For Boys, Inc.'s NPI number?

The NPI number for Mcauley Nazareth Home For Boys, Inc. is 1992368153. It was assigned to this organization in the NPPES registry on April 15, 2019. The provider is doing business as Nazareth.

Where is Mcauley Nazareth Home For Boys, Inc. located?

Mcauley Nazareth Home For Boys, Inc. is located at 77 Mulberry St, Leicester, MA 01524. The listed phone number is (508) 892-4886.

What is Mcauley Nazareth Home For Boys, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Mcauley Nazareth Home For Boys, Inc. was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.