Provider Demographics
NPI:1740081579
Name:UCP OF WESTERN MASSACHUSETTS INC
Entity type:Organization
Organization Name:UCP OF WESTERN MASSACHUSETTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-442-1562
Mailing Address - Street 1:208 WEST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-5703
Mailing Address - Country:US
Mailing Address - Phone:413-442-1562
Mailing Address - Fax:413-224-9281
Practice Address - Street 1:75 S CHURCH ST # 201
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6157
Practice Address - Country:US
Practice Address - Phone:413-442-1562
Practice Address - Fax:413-224-9281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty