NPIMap

Organization Active NPI

Department of Mental Health

Doing business as Centerpoint IRTP

  • Mental Illness Community Based Residential Treatment Facility
  • Tewksbury, MA
National Provider Identifier
1184741886
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DEPARTMENT OF MENTAL HEALTH
Doing business as
Centerpoint IRTP
Practice address
Tewksbury State Hosp - Centerpoint Irtp
365 East St
Tewksbury, MA 01876-0374
Phone
(978) 858-3776
Fax
(978) 858-3494
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Paul Scopa
Title
Asst. Director of Non-Inst Reimburs
Phone
(617) 886-8089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

Tewksbury State Hosp - Centerpoint Irtp
365 East St
Tewksbury, MA 01876-0374

Mailing address

25 Staniford St
Boston, MA 02114-2503
Phone (617) 626-8040

Other identifiers 1

IdentifierTypeStateIssuer
1102621MedicaidMA

Other names 1

  • Centerpoint IRTP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Worcester State147 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

365 East St
Tewksbury, MA 01876
Phone (617) 536-2186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184741886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STANIFORD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142503",
            "telephone_number": "617-626-8040",
            "fax_number": "617-626-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEWKSBURY STATE HOSP - CENTERPOINT IRTP",
            "address_2": "365 EAST ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018760374",
            "telephone_number": "978-858-3776",
            "fax_number": "978-858-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOPA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ASST. DIRECTOR OF NON-INST REIMBURS",
        "authorized_official_telephone_number": "617-886-8089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102621",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerpoint IRTP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tewksbury, 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.