Department Of Mental Health
Community Based Residential Treatment Facility, Mental Illness in Tewksbury, Massachusetts
1710004320- Practice location
- Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876
- Phone
- 978-858-3776
- Fax
- 978-858-3494
- Last updated
- August 22, 2020
Department Of Mental Health is a healthcare organization based in Tewksbury, MA. Department Of Mental Health practices in Tewksbury, MA. The NPI Number for Department Of Mental Health is 1710004320. The current practice location address for Department Of Mental Health is Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876 and can be reached out via phone at 978-858-3776 and via fax at 978-858-3494.
Provider Profile Details
- NPI Number
- 1710004320
- Provider Name
- Department Of Mental Health
- Provider Entity Type
- Organization
- Address
- Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876
- Phone Number
- 978-858-3776
- Fax Number
- 978-858-3494
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Mr. Paul Scopa · Asst. Director Of Non-Inst Reimburs · 617-886-8089
- Other Names
- Merrimack Center Birtp (Doing Business As)
- Provider Enumeration Date
- March 26, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp
365 East St
Tewksbury, MA 01876 - City
- Tewksbury
- State
- Massachusetts
- Zip
- 01876
- Phone Number
- 978-858-3776
- Fax Number
- 978-858-3494
Provider Business Mailing Address Details
- Address
- 25 Staniford St
Boston, MA 02114-2503 - City
- Boston
- State
- MA
- Zip
- 02114-2503
- Phone Number
- 617-626-8040
- Fax Number
- 617-626-8295
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Department Of Mental Health?
The NPI number of Department Of Mental Health is 1710004320. It was assigned on March 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Department Of Mental Health?
Department Of Mental Health is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does Department Of Mental Health practice?
The practice location is Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876. The office can be reached at 978-858-3776 (phone) or 978-858-3494 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710004320 directly on the NPPES registry website.