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The Commonwealth of Massachusetts

Organization Active NPI Psychiatric Hospital · Fall River, MA

NPI 1194803288 · NPPES record last updated May 2, 2023

Key facts

NPI
1194803288
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital 283Q00000X
License
EXEMPT (MA)
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Practice address
49 Hillside St
Fall River, MA 02720-5211
Phone
(508) 235-7200
Fax
(508) 235-7346
NPI assigned
Nov 2, 2006
Organization subpart
Yes
Parent organization (as reported)
COMMONWEALTH OF MASSACHUSETTS

Authorized official

Name
Lynne Olsen-Vieira
Title
Site Director
Phone
(508) 235-7400

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

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

Practitioners 170

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 170

Medicare Care Compare: Hospital

Listed as
Dr John C Corrigan Mental Health Center CCN 224028
Type
Psychiatric
Ownership
Government - State
Medicare certification status
Active (Provider of Services file)
Emergency services
No

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MA

Hospital certification: CCN 224028

Legal name
THE COMMONWEALTH OF MASSACHUSETTS
Doing business as
DR. JOHN C CORRIGAN MENTAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 2, 1989
Last certification
May 22, 2017
Beds
16
Ownership / control type
State
Organization structure
Other · Non-profit
Enrollment address
49 Hillside St
Fall River, MA 27205211
Hospital subgroups
Other

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paul Santos
Individual 		W-2 Managing Employee Jul 1, 2015 100%
Howard Baker-Smith
Individual 		W-2 Managing Employee
Southeast Area Director		 Jul 1, 2015 100%
Jeanne-Marie Crespi
Individual 		W-2 Managing Employee
Ad;		 Oct 1, 2024 100%
The Commonwealth of Massachusetts
Organization · Boston, MA 		5% Or Greater Direct Ownership Interest Feb 2, 1989 100%
Kathleen S Duke
Individual 		W-2 Managing Employee
Interim Site Director		 Jul 1, 2015 100%

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tewksbury Hospital
Tewksbury, MA · CCN 222003		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Lemuel Shattuck Hospital
Jamaica Plain, MA · CCN 222006		 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Dr. John C Corrigan Mental Health Center
Fall River, MA · CCN 224028		 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 2, 1989
Solomon Carter Fuller Mental Health Center
Boston, MA · CCN 224040		 Hospital Operational/Managerial Control (100%) Dec 26, 2008
Worcester Recovery Center and Hospital
Worcester, MA · CCN 224032		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 17, 1992
Cape Cod and the Islands Mental Health Center
Pocasset, MA · CCN 224031		 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 2, 1989
Taunton State Hospital
Taunton, MA · CCN 224001		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1986
Massachusetts Veterans' Home in Chelsea
Chelsea, MA · CCN 225110		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 1, 2023
Jul 1, 1966
Massachusetts Veterans' Home of Holyoke
Holyoke, MA · CCN 225786		 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 6, 2025
May 6, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040928000190 MA Part B Supplier - Clinic/Group Practice 8820906860 Receives reassigned benefits from 42 practitioners
2 other NPIs on this enrollment
Practice locations: Fall River, MA
O20071207000059 MA Part a Provider - Hospital 8820906860 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fall River, MA

National Provider Directory

Tax ID family
C Stanley Raymond (146 organizations share this tax ID)
Part of
C Stanley Raymond

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X EXEMPT MA Yes

Addresses

Primary practice location

49 Hillside St
Fall River, MA 02720-5211

Mailing address

49 Hillside St
Fall River, MA 02720-5211
Phone (508) 235-7200

Other identifiers

IdentifierTypeStateIssuer
DRJ2222448810OtherMABLUE CROSS/BLUE SHIELD
110000091IMedicaidMA
224028OtherMAMEDICARE B

Other names

  • Corrigan Mental Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2023.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1194803288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HILLSIDE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205211",
            "telephone_number": "508-235-7200",
            "fax_number": "508-235-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HILLSIDE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205211",
            "telephone_number": "508-235-7200",
            "fax_number": "508-235-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH OF MASSACHUSETTS",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "OLSEN-VIEIRA",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "508-235-7400"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MA",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "DRJ2222448810",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000091I",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "224028",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corrigan Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corrigan Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fall River, MA

All providers in Fall River, MA · Psychiatric Hospital in Massachusetts

Sources for this page

Verify at the official NPI Registry.