Organization Active NPI

Moss Behavioral Health Treatment, Inc.

  • Community/Behavioral Health Agency
  • Billerica, MA
National Provider Identifier
1083106520
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4241 Issued in MA
Legal business name
MOSS BEHAVIORAL HEALTH TREATMENT, INC.
Practice address
374 Concord Rd
Billerica, MA 01821-6503
Phone
(978) 835-5000
Fax
(978) 362-8365
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Dr. Stephen Blaine Moss, PHD
Title
President
Phone
(978) 835-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4241 MA Primary

Addresses

Primary practice location

374 Concord Rd
Billerica, MA 01821-6503

Mailing address

374 Concord Rd
Billerica, MA 01821-6503
Phone (978) 835-5000

Other identifiers 1

IdentifierTypeStateIssuer
70010000404123OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1083106520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 CONCORD RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018216503",
            "telephone_number": "978-835-5000",
            "fax_number": "978-362-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 CONCORD RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018216503",
            "telephone_number": "978-835-5000",
            "fax_number": "978-362-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS BEHAVIORAL HEALTH TREATMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-835-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "4241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70010000404123",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.