Active NPI
Gosnold, Inc.
- Substance Abuse Rehabilitation Facility
- Falmouth, MA
National Provider Identifier
1063716306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 0103
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306723 | Medicaid | MA | |
| 1310518 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Gosnold Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Falmouth, MA
- NPI 1982980777
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.