NPIMap

Organization Active NPI

Northeast Health Services, LLC

Doing business as Hyland Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taunton, MA
National Provider Identifier
1225067481
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
4570 AND 4984 Issued in MA
Legal business name
NORTHEAST HEALTH SERVICES, LLC
Doing business as
Hyland Behavioral Health
Practice address
30 Taunton Green
Suite 5
Taunton, MA 02780-3243
Phone
(508) 880-6666
Fax
(508) 880-6655
NPI assigned
Jul 1, 2006
Last updated
Aug 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

Name
Mr. Wallace W. Varonko, PHDNPI 1003916313
Title
Owner
Phone
(508) 830-1444

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 4570 AND 4984 MA Primary

Addresses

Primary practice location

30 Taunton Green
Suite 5
Taunton, MA 02780-3243

Mailing address

39A Industrial Park Road
Plymouth, MA 02360-4868
Phone (508) 830-1444

Other identifiers 1

IdentifierTypeStateIssuer
1311778MedicaidMA

Other names 2

  • Hyland Behavioral Health Doing business as
  • (DBA): Attleboro Behavioral Health Center/Cape Behavioral Health Cente Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041015000643 MA Part B Supplier - Clinic/Group Practice 6901866706 Receives reassigned benefits from 670 practitioners
Practice locations: Plymouth, MA; Hyannis, MA; Pembroke, MA; Orleans, MA; North Billerica, MA; Newton, MA; Milford, MA; Middleboro, MA…

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 31)

8 N Main St
Fl 5
Attleboro, MA 02703
Phone (508) 217-7282

50 Dunham Rd
Ste 32003350
Beverly, MA 01915
Phone (978) 545-9958

1 Union St
Fl 3
Boston, MA 02108
Phone (617) 702-3936

660 Harrison Ave
Ste 230
Boston, MA 02118
Phone (617) 238-4910

1340 Soldiers Field Rd
Brighton, MA 02135
Phone (617) 334-2808

231 Main St
Fl 3
Brockton, MA 02301
Phone (508) 559-1567

201 Broadway
Ste 575
Cambridge, MA 02139
Phone (617) 301-4232

90 Everett Ave
Ste 12
Chelsea, MA 02150
Phone (617) 307-4228

199 Rosewood Dr
Ste 300
Danvers, MA 01923
Phone (978) 494-8163

126 Cove St
Fall River, MA 02720
Phone (508) 678-0041

340 Gifford St
Falmouth, MA 02540
Phone (508) 495-0554

18 Washington St
Fl 2
Foxborough, MA 02035
Phone (508) 901-4685

225 Foxborough Blvd
Ste 201
Foxborough, MA 02035
Phone (508) 901-4685

26 Parkridge Rd
Haverhill, MA 01835
Phone (978) 222-4060

259 North St
Ste 1
Hyannis, MA 02601
Phone (508) 862-0514

280 Merrimack St
Ste 141
Lawrence, MA 01843
Phone (508) 901-2044

33 Boston Post Rd W
Ste 420
Marlborough, MA 01752
Phone (508) 466-0047

94 S Main St
Middleboro, MA 02346
Phone (508) 504-8988

25 Birch St
Ste B204
Milford, MA 01757
Phone (508) 880-6666

221 Boston Rd
Ste A
North Billerica, MA 01862
Phone (978) 224-1418

5 Namskaket Rd
Orleans, MA 02653
Phone (774) 332-3791

20 Winter St
Ste 1
Pembroke, MA 02359
Phone (781) 312-1393

100 Hancock St
Fl 9
Quincy, MA 02171
Phone (508) 927-1176

35 Congress St
Ste 2235
Salem, MA 01970
Phone (978) 238-1870

645 Broadway
Somerville, MA 02145
Phone (617) 625-0006

Practitioners & affiliated clinicians

Practitioners 1,005

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.

View all 1,005

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1225067481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39A INDUSTRIAL PARK ROAD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604868",
            "telephone_number": "508-830-1444",
            "fax_number": "508-830-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TAUNTON GREEN",
            "address_2": "SUITE 5",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803243",
            "telephone_number": "508-880-6666",
            "fax_number": "508-880-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "VARONKO",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-830-1444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "4570 AND 4984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311778",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyland Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "(DBA): Attleboro Behavioral Health Center/Cape Behavioral Health Cente",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.