Organization Active NPI

Gosnold, Inc.

  • Substance Abuse Rehabilitation Facility
  • Falmouth, MA
National Provider Identifier
1063716306
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0103 Issued in MA
Legal business name
GOSNOLD, INC.
Practice address
200 Ter Heun Dr
Falmouth, MA 02540-2525
Phone
(508) 540-6550
Fax
(508) 540-7480
NPI assigned
Dec 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Authorized official

Name
Mr. Raymond V Tamasi
Title
Ceo
Phone
(508) 540-6550

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 4600 MA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 0532 MA
Mental Illness Community Based Residential Treatment Facility 320800000X 50.101.01 MA
Substance Abuse Rehabilitation Facility 324500000X 0103 MA Primary
Substance Abuse Rehabilitation Facility 324500000X 0246 MA
Substance Abuse Rehabilitation Facility 324500000X 0234 MA
Substance Abuse Rehabilitation Facility 324500000X 0403 MA
Substance Abuse Rehabilitation Facility 324500000X 0002 MA
Children's Substance Abuse Rehabilitation Facility 3245S0500X 1475245 MA

Addresses

Primary practice location

200 Ter Heun Dr
Falmouth, MA 02540-2525

Mailing address

200 Ter Heun Dr
Falmouth, MA 02540-2525
Phone (508) 540-6550

Other identifiers 2

IdentifierTypeStateIssuer
1306723MedicaidMA
1310518MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Gosnold Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 563-2262

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1063716306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TER HEUN DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402525",
            "telephone_number": "508-540-6550",
            "fax_number": "508-540-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TER HEUN DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402525",
            "telephone_number": "508-540-6550",
            "fax_number": "508-540-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSNOLD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "TAMASI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-540-6550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "4600",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MA",
            "license": "0532",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MA",
            "license": "50.101.01",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MA",
            "license": "0103",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MA",
            "license": "0246",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MA",
            "license": "0234",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MA",
            "license": "0403",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MA",
            "license": "0002",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MA",
            "license": "1475245",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306723",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1310518",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.