PENIKESE ISLAND SCHOOL, INC (NPI# 1346641313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346641313 |
| Entity Type | Organization |
| Organization Name | PENIKESE ISLAND SCHOOL, INC |
| Practice Address |
565 Woods Hole Rd Woods Hole MA 02543-1041 |
| Mailing Address |
Po Box 161 Woods Hole MA 02543-0161 |
| Practice Telephone | 5085487276 |
| Practice Fax Number | 5084579580 |
| Mailing Telephone | 5085487276 |
| Mailing Fax Number | 5084579580 |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |
| Authorized Official Name | MRS. MANDI KOSAKOWSKI (ADMINISTRATOR/THIRD PARTY BILLING) |
| Authorized Official Telephone | 6033539102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 0203 | MA | Residential Treatment Facilities |
| Street Address |
565 WOODS HOLE RD |
| City | WOODS HOLE |
| State | MA |
| Zip Code | 02543-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992139356 | Jill S Engerman Psychotherapy Associates, LLC | Social Worker | 40 Crescent Street, Suite 205, Waltham, MA 02543 | 2013-08-21 |
| 1740407261 | Darrell Andrew Bethurum | Technician, Other | 1 Little Harbor Rd, Woods Hole, MA 02543 | 2007-04-18 |
| 1265479968 | William T Speck | Pediatrics | Marine Biological Laboratory, Woods Hole, MA 02543 | 2006-06-01 |
| 1083885248 | Woods Hole Dental Care PC | Dentist | 91 A Water Street, Woods Hole, MA 02543-0125 | 2008-03-17 |
| 1174668537 | Bruce R Leger | Dentist | 91a Water St, Woods Hole, MA 02543-0125 | 2007-02-21 |
| 1487872685 | Sarah Lynn Futterer | Technician, Other | 1 Little Harbor Rd, Woods Hole, MA 02543-1012 | 2007-04-23 |
| 1699909606 | Woods Hole Dental Care | Clinic/Center | 91 Water St, Woods Hole, MA 02543-1025 | 2009-05-05 |
| 1013914563 | Frank Egloff | Psychiatry & Neurology | 89 Gardiner Rd, Pob # 46, Woods Hole, MA 02543-1115 | 2005-06-30 |
| 1750727780 | Elizabeth Anoush Dadian | Behavioral Analyst | 12 Park Rd, Woods Hole, MA 02543-1125 | 2013-05-16 |
| 1033292289 | Normand Henry Lazarow | Internal Medicine | 16 Harbor Hill Rd, Woods Hole, MA 02543-1215 | 2006-10-23 |
| Find all providers in zip 02543 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
| 1952784506 | Justice Resource Institute | Community Based Residential Treatment Facility, Mental Illness | 262 Crescent St, Waltham, MA 02453-3417 | 2015-07-01 |
| 1639564214 | Northeast Behavioral Associates | Community Based Residential Treatment Facility, Mental Illness | 23 Dailey Rd, Brockton, MA 02302-2250 | 2015-04-01 |
| 1750780227 | Westbridge Inc | Community Based Residential Treatment Facility, Mental Illness | 275 Mystic Ave, Ste C, Medford, MA 02155-6301 | 2014-08-20 |
| 1780966606 | Walgreens | Community Based Residential Treatment Facility, Mental Illness | 113 Monument St, Medford, MA 02155-3538 | 2011-09-16 |
| 1851627988 | Hampden County Sherriff's Department | Community Based Residential Treatment Facility, Mental Illness | 701 Center St, Chicopee, MA 01013-1588 | 2009-10-24 |
| 1184958423 | Joseph D Reich | Community Based Residential Treatment Facility, Mental Illness | 475 State Rd, Plymouth, MA 02360-5185 | 2009-09-18 |
| 1922127349 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Westborough State Hospital Chauncy Hall, Lyman St Daniels 1, Westborough, MA 01581 | 2007-03-28 |
| 1568580736 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Brighton Irtp - Everett House, 232 Centre St, Dorchester Center, MA 02124-2334 | 2007-03-27 |
| 1083732168 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Boston University - Fuller Irtp, 85 E Newton St Fl 6, Boston, MA 02118-2340 | 2007-03-27 |
| Find all providers with the same taxonomy | ||||
| City | WOODS HOLE |
| Zip Code | 02543 |
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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.