BAY COVE HUMAN SERVICES, INC (NPI# 1497981591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497981591 |
| Entity Type | Organization |
| Organization Name | BAY COVE HUMAN SERVICES, INC |
| Other Organization Name | MICHAEL J GILL MH AND WELLNESS CENTER |
| Practice Address |
170 Morton St Mj Gill Mh and Wellness Center Jamaica Plain MA 02130-3735 |
| Mailing Address |
66 Canal St Attn: Teresa Tarbox Boston MA 02114-2002 |
| Practice Telephone | 6176195900 |
| Mailing Telephone | 6176195919 |
| Mailing Fax Number | 6172272454 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |
| Authorized Official Name | MR. WILLIAM H SPRAGUE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6173713003 |
| Authorized Official Credential | M.ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MBHP | 1306448 | 01 |
| MA | 1306448 | 05 | |
| MA | BLUE CROSS BLUE SHIELD OF MASS | BOS2225003301 | 01 |
| MA | NETWORK HEALTH PLAN | 000000008416 | 01 |
| MA | BMC HEALTHNET PLAN | 000000008433 | 01 |
| MA | NETWORK HEALTH PLAN | 796212 | 01 |
| MA | NETWORK HEALTH PLAN | 98738301 | 01 |
| MA | BHS (NHP AND FALLON) | 1000290 | 01 |
| MA | MBHP | 1307681 | 01 |
| MA | 1303562 | 05 | |
| MA | MBHP | 1310194 | 01 |
| Other Name | Type Code |
|---|---|
| Michael J Gill MH and Wellness Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679914865 | Bay Cove Human Services, Inc | Day Training, Developmentally Disabled Services | 19 Bradston St, Boston, MA 02118-2703 | 2013-07-16 |
| 1649317595 | Bay Cove Human Services, Inc | Community/Behavioral Health | 105 Victory Rd, Dorchester, MA 02122-3518 | 2007-01-31 |
| 1386702264 | Bay Cove Human Services, Inc | Community/Behavioral Health | 31 Bowker St, Boston, MA 02114-2917 | 2006-12-05 |
| Street Address |
170 MORTON ST MJ GILL MH AND WELLNESS CENTER |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598745630 | Daniella Floru | Internal Medicine | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2006-01-17 |
| 1790390466 | Caz Novak | Social Worker | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-09-10 |
| 1215566849 | James William Assif | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-04-06 |
| 1982233045 | Ramy Rashad | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-04-02 |
| 1154958205 | Yu Sakai | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-03-26 |
| 1447890785 | Joseph Philip Rearick | Counselor | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-01-15 |
| 1093359580 | Samuel Paul Newman | Counselor | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-10-29 |
| 1760044739 | Nicole Jean Dell'erario | Social Worker | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-07-01 |
| 1154986784 | Saliha Fatima Abdal-khabir | Registered Nurse | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-05-09 |
| 1659935351 | Johnny Jarnagin | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326412685 | The Home for Little Wanderers | Community/Behavioral Health | 19 Dalrymple St, Unit D, Jamaica Plain, MA 02130-4543 | 2015-11-23 |
| 1437521275 | Lila Bucklin | Community/Behavioral Health | 65 Cornwall St Unit 104, Jamaica Plain, MA 02130-2696 | 2015-10-20 |
| 1760868798 | Abatec LLC | Community/Behavioral Health | 43 Montebello Rd, Jamaica Plain, MA 02130-2907 | 2015-07-31 |
| 1801916176 | Family Service Association of Greater Boston | Community/Behavioral Health | 31 Heath St, Jamaica Plain, MA 02130-1650 | 2007-03-30 |
| 1063549962 | Italian Home for Children Inc | Community/Behavioral Health | 1125 Centre St, Jamaica Plain, MA 02130-3445 | 2007-02-27 |
| 1326417981 | Mary Rose Weyrich | Community/Behavioral Health | 31 Heath St, Jamaica Plain, MA 02130-1650 | 2015-09-24 |
| 1053795138 | Brigham and Women's Hospital | Community/Behavioral Health | 3297 Washington St, Jamaica Plain, MA 02130-2655 | 2015-07-17 |
| 1548546120 | Mspcc | Community/Behavioral Health | 157 Green St, Jamaica Plain, MA 02130-2667 | 2011-10-27 |
| 1841504024 | Remy Yoshida | Community/Behavioral Health | 157 Green St, Jamaica Plain, MA 02130-2667 | 2010-07-30 |
| 1336306182 | Ecumenical Social Action Committee, Inc. | Community/Behavioral Health | 3313 Washington St, Suite 5, Jamaica Plain, MA 02130-2691 | 2008-05-20 |
| Find all providers in JAMAICA PLAIN | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
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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.