NORTH SHORE MEDICAL CENTER,INC (NPI# 1417972647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417972647 |
Entity Type | Organization |
Organization Name | NORTH SHORE MEDICAL CENTER,INC |
Practice Address |
81 Highland Ave Salem MA 01970-2714 |
Practice Telephone | 9787410522 |
Practice Fax Number | 9787404712 |
Mailing Telephone | 9787411200 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2019-07-09 |
Authorized Official Name | CHARLES E ADAMS (CFO) |
Authorized Official Telephone | 7814773959 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | Hospital Units |
Street Address |
81 HIGHLAND AVE |
City | SALEM |
State | MA |
Zip Code | 01970-2714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689668675 | Miriam Neuman | Specialist | 81 Highland Ave, Salem, MA 01970-2714 | 2005-09-06 |
1932727963 | Jessica Pepin | Registered Nurse | 81 Highland Ave, Salem, MA 01970-2714 | 2020-07-07 |
1659995157 | Jessica Low | Social Worker | 81 Highland Ave, Salem, MA 01970-2714 | 2020-06-01 |
1578184735 | Brooke Sauriol | Social Worker | 81 Highland Ave, Salem, MA 01970-2714 | 2020-04-29 |
1194346346 | Isaac Snow Pike | Social Worker | 81 Highland Ave, Salem, MA 01970-2714 | 2020-04-29 |
1164042032 | Rachel Barnum Rick | Nurse Practitioner | 81 Highland Ave, Salem, MA 01970-2714 | 2020-04-21 |
1932737350 | Mathew Brian Macey | Student in an Organized Health Care Education/Training Program | 81 Highland Ave, Salem, MA 01970-2768 | 2020-03-31 |
1013545797 | Zachary Abbott | Student in an Organized Health Care Education/Training Program | 81 Highland Ave, Salem, MA 01970-2768 | 2020-03-30 |
1275161887 | Evita Joseph | Student in an Organized Health Care Education/Training Program | 81 Highland Ave, Salem, MA 01970-2714 | 2020-03-30 |
1962030726 | George Joseph Kavalam | Student in an Organized Health Care Education/Training Program | 81 Highland Ave, Salem, MA 01970-2714 | 2020-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
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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 |
---|---|---|---|---|
1528261690 | Northshore Medical Center | Psychiatric Unit | 172 Lafayette St., Salem, MA 01970 | 2007-06-07 |
1528005691 | Lewis-gale Medical Center, LLC | Psychiatric Unit | 1902 Braeburn Dr, Salem, VA 24153-7304 | 2006-05-31 |
1609269083 | Lewis-gale Medical Center, LLC | Psychiatric Unit | 1902 Braeburn Dr, Salem, VA 24153-7304 | 2015-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
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 |
1225399785 | Brockton Multi Services | Psychiatric Unit | 165 Quincy St, Brockton, MA 02302-2988 | 2012-05-31 |
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.