NPIMap

Organization Active NPI

Boston Medical Center Corporation

Doing business as BMC Brockton Behavioral Health Center

  • Psychiatric Hospital Unit
  • Brockton, MA
National Provider Identifier
1033854153
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
BOSTON MEDICAL CENTER CORPORATION
Doing business as
BMC Brockton Behavioral Health Center
Practice address
34 N Pearl St
Brockton, MA 02301-1708
Phone
(617) 414-5393
NPI assigned
May 3, 2022
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terri T Newsom
Title
SVP and Cfo
Phone
(617) 638-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary
General Acute Care Hospital 282N00000X NU

Addresses

Primary practice location

34 N Pearl St
Brockton, MA 02301-1708

Mailing address

1 Boston Medical Ctr PL
Boston, MA 02118-2908

Other names 1

  • BMC Brockton Behavioral Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220914001604 MA Part A Provider - Hospital 0547222051 Practice locations: Brockton, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033854153. Details of each certification follow.

Hospital certification: CCN 22S031

Legal name
BOSTON MEDICAL CENTER CORPORATION
Doing business as
BOSTON MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
May 9, 1996 in MA
Enrollment address
34 Pearl St
Brockton, MA 23012818
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Boston Emergency Services Team Bay Cove Ucc52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Ownership & related parties

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Halpin Individual Corporate Director Feb 12, 1998
Karen Kames Individual Corporate OfficerBoard of Directors Aug 1, 2016
Teresa T Newsom Individual Corporate OfficerSVP Finance & Cfo Aug 1, 2020
Corporate DirectorSVP Finance & Cfo Aug 1, 2020
W-2 Managing EmployeeSVP Finance & Cfo Aug 1, 2020
Azra Kanji Individual Corporate OfficerBoard of Directors Aug 1, 2016
James Blue Individual Corporate OfficerBoard of Directors Aug 1, 2016
Ruth Ellen Fitch Individual Corporate OfficerBoard of Directors Aug 1, 2016
Richard Marks Individual Corporate OfficerBoard of Directors Aug 1, 2016
Anthony Hollenberg Individual Corporate OfficerPresident Apr 3, 2023
Corporate DirectorPresident Apr 3, 2023
Claire Perlman Individual Corporate OfficerBoard of Directors Aug 1, 2016
Pierre Cremieux Individual Corporate OfficerBoard of Directors Aug 1, 2016
Nicole Sexton Individual W-2 Managing Employee Jun 1, 2019
Brendan G Magauran Individual Corporate OfficerBoard of Directors Aug 1, 2016
Barry Bock Individual Corporate OfficerBoard of Directors Aug 1, 2016
Randi Cutler Individual Corporate OfficerBoard of Directors Aug 1, 2016
Martha Samuelson Individual Corporate OfficerBoard of Directors Aug 1, 2016
Monica Valdes Lupi Individual Corporate OfficerBoard of Directors Aug 1, 2016
BMC Health System Inc Organization, Boston, MA Corporation, Non-profit Other Jul 1, 2013
David Beck Individual Corporate Officer Dec 31, 2011
Paul Egerman Individual Corporate OfficerBoard of Directors Aug 1, 2016
David Ament Individual Corporate OfficerBoard of Directors Aug 1, 2016
Yousef Ghanem Individual W-2 Managing EmployeeVice President - Finance May 31, 2022
Andrew Youniss Individual Corporate OfficerBoard of Directors Aug 1, 2016
Sandra Cotterell Individual Corporate Director Mar 7, 1994
Jerod Mayo Individual Corporate OfficerBoard of Directors Aug 1, 2016
Karen Antman Individual Corporate OfficerBoard of Directors Aug 1, 2016
Karen Fine Individual W-2 Managing EmployeeController May 17, 2023
David L Coleman Individual Corporate OfficerBoard of Directors Aug 1, 2016
Melanie Foley Individual Corporate OfficerBoard of Directors Aug 1, 2016
Anita Bekestein Individual Corporate OfficerBoard of Directors Aug 1, 2016
John Hailer Individual Corporate OfficerBoard of Directors Aug 1, 2016

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1033854153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011708",
            "telephone_number": "617-414-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SVP AND CFO",
        "authorized_official_telephone_number": "617-638-8000"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMC Brockton Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BMC Brockton Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.