STEWARD GOOD SAMARITAN MEDICAL CENTER, INC. (NPI# 1164735957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164735957 |
| Entity Type | Organization |
| Organization Name | STEWARD GOOD SAMARITAN MEDICAL CENTER, INC. |
| Other Organization Name | GOOD SAMARITAN MEDICAL CENTER PSYCHIATRIC UNIT |
| Practice Address |
235 N Pearl St Brockton MA 02301-1794 |
| Practice Telephone | 5084273000 |
| Practice Fax Number | 6175627241 |
| Mailing Telephone | 5084273000 |
| Mailing Fax Number | 6175627241 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2011-11-09 |
| Authorized Official Name | JAMES RENNA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6174194700 |
| Is Organization Subpart | Y |
| Parent Organization Name | STEWARD HEALTH CARE SYSTEM LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110086667B | 05 |
| Other Name | Type Code |
|---|---|
| Good Samaritan Medical Center Psychiatric Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922516053 | Steward Good Samaritan Medical Center, Inc. | Psychiatry & Neurology | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-01-10 |
| 1932412269 | Steward Good Samaritan Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 907 Sumner St, Suite 205, Stoughton, MA 02072-3374 | 2010-07-15 |
| 1881906337 | Steward Good Samaritan Medical Center, Inc. | General Acute Care Hospital | 235 N Pearl St, Brockton, MA 02301-1794 | 2010-07-12 |
| Street Address |
235 N PEARL ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527020 | Mark S Dichter | Internal Medicine | 235 N Pearl St, Brockton, MA 02301-1794 | 2005-09-08 |
| 1811523913 | Paige Graham | Physician Assistant | 235 N Pearl St, Brockton, MA 02301-1794 | 2020-03-20 |
| 1477109627 | Nathaniel Minh Dang | Nurse Practitioner | 235 N Pearl St, Brockton, MA 02301-1794 | 2019-08-14 |
| 1457811846 | Joliane Charlotin | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2019-03-21 |
| 1437614229 | Julia Louis | Advanced Practice Midwife | 235 N Pearl St, Brockton, MA 02301-1700 | 2019-02-05 |
| 1124502497 | Guy A Fleuette | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-09-21 |
| 1114408275 | Jacqueline Gail Donahue | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-08-27 |
| 1326529652 | Christie E. Culbert | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-08-24 |
| 1316425770 | Karyn Smart-strobert | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-07-29 |
| 1982101192 | Eva Gougian | Physician Assistant | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225399785 | Brockton Multi Services | Psychiatric Unit | 165 Quincy St, Brockton, MA 02302-2988 | 2012-05-31 |
| 1689763948 | Caritas Good Samaritan Medical Center-impatient Gero Psych | Psychiatric Unit | 235 N Pearl St, Brockton, MA 02301-1794 | 2006-10-12 |
| 1689695405 | Brockton Hospital, Inc. | Psychiatric Unit | 680 Centre St, Brockton, MA 02302-3308 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225261589 | Cambridge Health Alliance | Psychiatric Unit | 153 Leyden St Apt 2, East Boston, MA 02128-2617 | 2009-09-02 |
| 1467641126 | Boston Healthcare Va | Psychiatric Unit | 204 Bellingham Ave, Revere, MA 02151-4106 | 2007-10-18 |
| 1528261690 | Northshore Medical Center | Psychiatric Unit | 172 Lafayette St., Salem, MA 01970 | 2007-06-07 |
| 1629062906 | The Mercy Hospital Inc | Psychiatric Unit | 1233 Main St, Holyoke, MA 01040 | 2005-09-01 |
| 1194250290 | Mclean Hospital | Psychiatric Unit | 30 Warren St, Brighton, MA 02135-3602 | 2017-04-26 |
| 1285171934 | Umass Memorial Healthalliance Clinton Hospital Inc | Psychiatric Unit | 201 Highland St, Clinton, MA 01510-1037 | 2017-01-19 |
| 1700216850 | Nashoba Valley Medical Center, A Steward Family Hospital, Inc. | Psychiatric Unit | 200 Groton Rd, Ayer, MA 01432-1168 | 2013-11-26 |
| 1720369036 | Quincy Medical Center, A Steward Family Hospital, Inc. | Psychiatric Unit | 114 Whitwell St, Quincy, MA 02169-1870 | 2011-08-31 |
| 1376822676 | Morton Hospital, A Steward Family Hospital, Inc. | Psychiatric Unit | 88 Washington St, Taunton, MA 02780-2465 | 2011-08-04 |
| 1609172055 | Merrimack Valley Hospital, A Steward Family Hospital, Inc. | Psychiatric Unit | 140 Lincoln Ave, Haverhill, MA 01830-6700 | 2011-02-02 |
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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.