Active NPI
PCS Tele-Behavioral Health Services LLC
- Clinical Social Worker
- Randolph, MA
National Provider Identifier
1154932879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PCS TELE-BEHAVIORAL HEALTH SERVICES LLC
- Practice address
- 7 Van Tassel Dr
Randolph, MA 02368-2819 - Phone
- (339) 987-9735
- NPI assigned
- Aug 14, 2020
- 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
- Paul Charles Stone, LICSW
- Title
- Clinical Social Worker Telehealth P
- Phone
- (339) 987-9735
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
7 Van Tassel Dr
Randolph, MA 02368-2819
Mailing address
7 Van Tassel Dr
Randolph, MA 02368-2819
Phone (339) 987-9735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO562101 | Medicaid | MA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.therapynotes.com/app/ | Health Information Exchange (HIE) | |
| CONNECT URL | https://www.therapynotes.com/ | Health Information Exchange (HIE) | |
| CONNECT URL | https://www.therapynotes.com/app/ | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Taunton, MA
- NPI 1568572360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1154932879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 VAN TASSEL DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682819",
"telephone_number": "339-987-9735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 VAN TASSEL DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682819",
"telephone_number": "339-987-9735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PCS TELE-BEHAVIORAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-14",
"last_updated": "2023-11-27",
"certification_date": "2020-09-04",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER TELEHEALTH P",
"authorized_official_telephone_number": "339-987-9735",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PO562101",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.therapynotes.com/app/",
"affiliation": "Y",
"endpointDescription": "TherapyNotes LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "630 Dresher Rd",
"city": "Horsham",
"state": "PA",
"country_code": "US",
"postal_code": "190442204",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.therapynotes.com/",
"affiliation": "Y",
"endpointDescription": "TherapyNote LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "630 Dresher Rd",
"city": "Horsham",
"state": "PA",
"country_code": "US",
"postal_code": "190442204",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.therapynotes.com/app/",
"affiliation": "Y",
"endpointDescription": "TherapyNotes LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "630 Dresher Rd",
"city": "Horsham",
"state": "PA",
"country_code": "US",
"postal_code": "190442204",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.