DEPARTMENT OF MENTAL HEALTH (NPI# 1710004320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710004320 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF MENTAL HEALTH |
| Other Organization Name | MERRIMACK CENTER BIRTP |
| Practice Address |
Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp 365 East St Tewksbury MA 01876 |
| Mailing Address |
25 Staniford St Boston MA 02114-2503 |
| Practice Telephone | 9788583776 |
| Practice Fax Number | 9788583494 |
| Mailing Telephone | 6176268040 |
| Mailing Fax Number | 6176268295 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL SCOPA (ASST. DIRECTOR OF NON-INST REIMBURS) |
| Authorized Official Telephone | 6178868089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1199234 | 05 |
| Other Name | Type Code |
|---|---|
| Merrimack Center BIRTP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1609217173 | Department of Mental Health | Case Management | 440 Bauchet Street, Los Angeles, CA 90012 | 2013-07-12 |
| 1790023554 | Department of Mental Health | Community/Behavioral Health | 42230 N. Lake Hughes Avenue, Lake Hughes, CA 93532 | 2013-01-29 |
| 1265770291 | Department of Mental Health | Student in an Organized Health Care Education/Training Program | 11303 West Washington Boulvard, Suite 200, Los Angeles, CA 90066 | 2013-01-25 |
| 1346556214 | Department of Mental Health | Community/Behavioral Health | 550 S. Vermont Street 6th Floor, Los Angeles, CA 90020-1912 | 2010-08-30 |
| 1093021420 | Department of Mental Health | Social Worker | 2668 E 58th St, Huntington Park, CA 90255-2608 | 2010-08-23 |
| 1134453236 | Department of Mental Health | Psychiatric Hospital | 21730 S. Vermont Avenue, Suite 210, Torrance, CA 90509 | 2009-09-23 |
| 1851548721 | Department of Mental Health | Psychiatric Unit | 4040 Adair St, Los Angeles, CA 90011-2902 | 2008-08-22 |
| 1154549921 | Department of Mental Health | Community/Behavioral Health | Western Mass Rho, 1 Prince St, Northampton, MA 01060 | 2007-04-24 |
| 1780802561 | Department of Mental Health | Case Management | 40 Institute Rd, Oaks B Bldg, Southbridge - Milford Cm, No Grafton, MA 01532 | 2007-04-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEPARTMENT OF MENTAL HEALTH | 768 Pleasant Valley Rd Ste 201, Placerville, CA 95667 |
| Street Address |
TEWKSBURY STATE HOSP SPECIAL BLDG - MERRIMACK CTR BIRTP 365 EAST ST |
| City | TEWKSBURY |
| State | MA |
| Zip Code | 01876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114224672 | Make It Easy Medical Devices | Durable Medical Equipment & Medical Supplies | 410 Woburn Street, Tewksbury, Tewksbury, MA 01876 | 2011-02-18 |
| 1538329883 | Donna M Schneider | Mechanotherapist | 1 Dundee Park, Suites 1 & 2, Andover, MA 01876 | 2008-06-11 |
| 1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
| 1801086434 | Yvonne Marie Canuel | Long Term Care Hospital | 265 East Street, Tewksbury, MA 01876 | 2007-07-30 |
| 1851511661 | Sandra Lee Proulx | Licensed Practical Nurse | 10 Arnold Rd, Tewksbury, MA 01876 | 2007-04-26 |
| 1316002884 | Robert A Karr | Psychiatry & Neurology | North East Area Office, Tewksbury, MA 01876 | 2006-12-26 |
| 1659448769 | Barbara P Goldsher | Social Worker | 40 Chivas Circle, Tewksbury, MA 01876 | 2006-11-30 |
| 1457423154 | Boutselis Family Dental Care PC | Dentist | 381r Main Street, Tewksbury, MA 01876 | 2006-11-15 |
| 1477623189 | Commonwealth of Massachusetts Office for Pharmacy Services | Pharmacy | 369 East St, Tewksbury, MA 01876 | 2006-11-09 |
| 1417057845 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1900 Main St Rte 38 Oakdale Mall, Tewksbury, MA 01876 | 2006-09-25 |
| Find all providers in zip 01876 | ||||
| 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 |
|---|---|---|---|---|
| 1184741886 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Tewksbury State Hosp - Centerpoint Irtp, 365 East St, Tewksbury, MA 01876-0374 | 2007-03-26 |
| 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 |
| 1346641313 | Penikese Island School, Inc | Community Based Residential Treatment Facility, Mental Illness | 565 Woods Hole Rd, Woods Hole, MA 02543-1041 | 2014-09-10 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.