NPIMap

Organization Active NPI

Starr Psychiatric Center, Inc

  • Mental Health Counselor
  • Brockton, MA
National Provider Identifier
1093924151
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1505 Issued in MA
Legal business name
STARR PSYCHIATRIC CENTER, INC
Practice address
529 Pearl St
Brockton, MA 02301-2825
Phone
(508) 580-2211
Fax
(508) 427-1772
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Starr, M.D.
Title
Medical Director
Phone
(508) 580-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1505 MA Primary

Addresses

Primary practice location

529 Pearl St
Brockton, MA 02301-2825

Mailing address

22 Tracey LN
Sharon, MA 02067-3132
Phone (508) 580-2211

Other identifiers 1

IdentifierTypeStateIssuer
500204OtherMATUFTS PROVIDER NUMBER

Other names 1

  • STARR SOCIAL WORKERS Other name

National Provider Directory

National Provider Directory
Tax ID family
Starr Psychiatric Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093924151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TRACEY LN",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020673132",
            "telephone_number": "508-580-2211",
            "fax_number": "508-427-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012825",
            "telephone_number": "508-580-2211",
            "fax_number": "508-427-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARR PSYCHIATRIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-580-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER NUMBER",
            "identifier": "500204",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STARR SOCIAL WORKERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.