CELTICARE HEALTH PLAN OF MASSACHUSETTS, INC. (NPI# 1023431145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023431145 |
| Entity Type | Organization |
| Organization Name | CELTICARE HEALTH PLAN OF MASSACHUSETTS, INC. |
| Practice Address |
200 West St Waltham MA 02451-1121 |
| Practice Telephone | 6177795100 |
| Mailing Telephone | 6177795100 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |
| Authorized Official Name | SUSAN R. KOHLER (SR. DIRECTOR, ETHICS AND COMPLIANCE) |
| Authorized Official Telephone | 7707433252 |
| Authorized Official Credential | RN,BSN, MSML |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTENE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CELTICARE HEALTH PLAN OF MASSACHUSETTS, INC. | 7700 Forsyth Boulevard, Suite 800, St. Louis, MO 63105 |
| Street Address |
200 WEST ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396850442 | Maria A Ponsillo | Internal Medicine | 200 West St, Waltham, MA 02451-1121 | 2006-08-20 |
| 1821321530 | Nancy M Kivel | Specialist | 200 West St, Parexel, Waltham, MA 02451-1121 | 2009-09-13 |
| 1952540940 | Andrew T Blair | Internal Medicine | 200 West St, Waltham, MA 02451-1121 | 2009-02-13 |
| 1124218268 | Melody L Craft | Internal Medicine | 200 West St, Waltham, MA 02451-1121 | 2007-07-25 |
| 1790800639 | Richard P Jacobs | Radiology | 200 West St, Waltham, MA 02451-1121 | 2007-03-20 |
| 1427184001 | Erik R Vandendries | Internal Medicine | 200 West St, Waltham, MA 02451-1121 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413725 | Massachusetts Interlocal Insurance Association | Health Maintenance Organization | 1 Winthrop Sq, Boston, MA 02110-1209 | 2020-10-06 |
| 1144768698 | Lahey | Health Maintenance Organization | 1773 Salem St, North Andover, MA 01845-3318 | 2017-02-04 |
| 1508304163 | Bonnie Pan | Health Maintenance Organization | 228 Lyman St, Holyoke, MA 01040-4145 | 2017-02-03 |
| 1720449093 | Breath of Life Chiropractic and Wellness | Health Maintenance Organization | 146 Briarcliff Rd, Brockton, MA 02301-3011 | 2016-03-15 |
| 1639537285 | Habit Opco Wareham | Health Maintenance Organization | 3088 Acranberry Hwy., E. Wareham, MA 02538-1499 | 2016-02-10 |
| 1659751931 | Adult Developmental Center, Inc | Health Maintenance Organization | 25 Marlboro St, Belmont, MA 02478-3657 | 2015-06-02 |
| 1780025189 | South Bay Mental Health Center | Health Maintenance Organization | 15 S Point Dr, Apartment 605, Boston, MA 02125-3564 | 2013-07-13 |
| 1891038089 | Healthier You Wellness Nutrition Partners of Greater Boston, LLC | Health Maintenance Organization | 797 N Main St, 6, Brockton, MA 02301-2446 | 2013-04-05 |
| 1932440948 | Senior Whole Health, LLC | Health Maintenance Organization | 58 Charles St, Suite 2, Cambridge, MA 02141-2128 | 2013-03-15 |
| 1255683991 | Accurate Health Care LLC | Health Maintenance Organization | 34 Main St Extension Office #201, Plymouth, MA 02360 | 2012-10-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.