Organization Active NPI

Behavioral Health Network Inc

  • Case Manager/Care Coordinator
  • Springfield, MA
National Provider Identifier
1134617210
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
BEHAVIORAL HEALTH NETWORK INC
Practice address
417 Liberty Street
Springfield, MA 01104-3736
Phone
(413) 747-0705
NPI assigned
Apr 25, 2018
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BEHAVIORAL HEALTH NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Richard Follett
Title
VP
Phone
(413) 301-9403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

417 Liberty Street
Springfield, MA 01104-3736

Mailing address

PO Box 2738
Springfield, MA 01101-2738
Phone (413) 747-0705

Other identifiers 1

IdentifierTypeStateIssuer
110027780MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Child Guidance Clinic O6 organizations share this tax ID, including this one
Part of
Child Guidance Clinic O

Other organizations with this tax ID 5

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": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1134617210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2738",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011012738",
            "telephone_number": "413-747-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 LIBERTY STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043736",
            "telephone_number": "413-747-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEHAVIORAL HEALTH NETWORK INC",
        "enumeration_date": "2018-04-25",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "FOLLETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "413-301-9403"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027780",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.