STEWARD GOOD SAMARITAN MEDICAL CENTER, INC. (NPI# 1922516053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922516053 |
| Entity Type | Organization |
| Organization Name | STEWARD GOOD SAMARITAN MEDICAL CENTER, INC. |
| Other Organization Name | GOOD SAMARITAN HOSPITAL BEHAVIORAL MEDICINE |
| Practice Address |
235 N Pearl St Brockton MA 02301-1794 |
| Mailing Address |
30 Perwal St Westwood MA 02090-1928 |
| Practice Telephone | 5084272841 |
| Mailing Telephone | 7813753308 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | PAULA A WYMAN (CORP DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 7813753308 |
| Is Organization Subpart | Y |
| Parent Organization Name | STEWARD HEALTH CARE SYSTEM LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 282N00000X | General Acute Care Hospital | 2311 | MA | Hospitals |
| Other Name | Type Code |
|---|---|
| Good Samaritan Hospital Behavioral Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164735957 | Steward Good Samaritan Medical Center, Inc. | Psychiatric Unit | 235 N Pearl St, Brockton, MA 02301-1794 | 2010-07-21 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790812105 | Massachusetts General Hospital | General Acute Care Hospital | 32 Wilmington St, Brockton, MA 02301-1628 | 2007-02-27 |
| 1225383961 | Boston Va Hospital | General Acute Care Hospital | 940 Belmont Street, Boston Va Healthcare System, Brockton, MA 02301 | 2012-07-18 |
| 1881906337 | Steward Good Samaritan Medical Center, Inc. | General Acute Care Hospital | 235 N Pearl St, Brockton, MA 02301-1794 | 2010-07-12 |
| 1922247675 | Caritas Good Samaritan Medical Center | General Acute Care Hospital | 235 N Pearl St, Brockton, MA 02301-1794 | 2009-02-19 |
| 1407946106 | Caritas Good Samaritan Medical Center-outpatient | General Acute Care Hospital | 235 N Pearl St, Brockton, MA 02301-1794 | 2006-10-13 |
| 1811084643 | Caritas Good Samaritan Medical Center-diagnostic Facility | General Acute Care Hospital | 1 Pearl St, Brockton, MA 02301-2864 | 2006-10-05 |
| 1558457374 | Caritas Good Samaritan Medical Center | General Acute Care Hospital | 235 N Pearl St, Brockton, MA 02301-1794 | 2006-10-05 |
| 1770504599 | Brockton Hospital, Inc. | General Acute Care Hospital | 680 Centre St, Brockton, MA 02302-3308 | 2006-07-21 |
| 1063431286 | Brockton Hospital, Inc. | General Acute Care Hospital | 680 Centre St, Brockton, MA 02302-3308 | 2006-07-19 |
| 1306894613 | Boston Vamc | General Acute Care Hospital | 940 Belmont St, Brockton, MA 02301-5596 | 2006-05-05 |
| Find all providers in BROCKTON | ||||
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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.