BLACKSTONE BEHAVIORAL HEALTH SERVICES (NPI# 1033544846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033544846 |
| Entity Type | Organization |
| Organization Name | BLACKSTONE BEHAVIORAL HEALTH SERVICES |
| Practice Address |
145k Faunce Corner Rd. North Dartmouth MA 02747 |
| Practice Telephone | 7819290553 |
| Mailing Telephone | 7819290553 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| Authorized Official Name | PETER C PATCH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7819290553 |
| Authorized Official Credential | PSYD, BCBA, BCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 7970 | MA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | BLACKSTONE BEHAVIORAL HEALTH SERVICES, INC. | 145 Faunce Corner Rd., Ste K, No. Dartmouth, MA 02747 |
| Street Address |
145K FAUNCE CORNER RD. |
| City | NORTH DARTMOUTH |
| State | MA |
| Zip Code | 02747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
| 1205126000 | Cheryl Lee Pimentel | Nurse Practitioner | 39 Faunce Corner Rd . Suite 1, Dartmouth, MA 02747 | 2011-04-13 |
| Find all providers in zip 02747 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1518176718 | Shawn Thomas | Counselor | 1167 Russells Mills Road, North Dartmouth, MA 02747 | 2007-05-22 |
| 1336635879 | Melissa Paige Shapiro | Counselor | 400 Faunce Corner Rd, North Dartmouth, MA 02747-1275 | 2018-07-09 |
| 1477005809 | Andrea Agajanian | Counselor | 145 Faunce Corner Rd, North Dartmouth, MA 02747-1263 | 2016-11-02 |
| 1760930176 | Courtney Breanne Connolly | Counselor | 145 Faunce Corner Road, North Dartmouth, MA 02747 | 2016-09-14 |
| 1770956328 | Patricia Jeanne Delaney | Counselor | 145 Faunce Corner Rd Ste K, North Dartmouth, MA 02747-1263 | 2015-11-04 |
| 1902145253 | Erin Marie Abbott | Counselor | 145 Faunce Corner Rd Ste K, North Dartmouth, MA 02747-1263 | 2013-02-06 |
| 1306181490 | Jose Andres Sandoval | Counselor | 145 Faunce Corner Rd Ste K, North Dartmouth, MA 02747-1263 | 2012-11-30 |
| 1639428675 | Nancy Marie Anjo | Counselor | 145 Faunce Corner Rd, North Dartmouth, MA 02747-1263 | 2012-09-06 |
| 1851653828 | Yanjie Wang | Counselor | 145 Faunce Corner Rd, Suite K, North Dartmouth, MA 02747-1263 | 2012-06-14 |
| Find all providers in NORTH DARTMOUTH | ||||
| City | NORTH DARTMOUTH |
| Zip Code | 02747 |
Please comment or provide details below to improve the information on BLACKSTONE BEHAVIORAL HEALTH SERVICES.
| 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.