Organization Active NPI

PCS Tele-Behavioral Health Services LLC

  • Clinical Social Worker
  • Randolph, MA
National Provider Identifier
1154932879
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Paul Charles Stone, LICSWNPI 1568572360
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PO562101MedicaidMA

Electronic endpoints 3

TypeEndpointUseAffiliation
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.