Cape Cod Healthcare Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Hyannis, MA
NPI 1245286152 · NPPES record last updated Nov 13, 2025
Key facts
- NPI
- 1245286152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- CAPE COD HEALTHCARE INC.
- Practice address
- 460 W Main St
Hyannis, MA 02601-3653 - Phone
- (508) 790-3360
- Fax
- (508) 790-3304
- NPI assigned
- May 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CAPE COD HEALTHCARE INC.
Authorized official
- Name
- Debra Ciavola, PHD
- Title
- Executive Director
- Phone
- (508) 862-5487
Practitioners 55
-
Rosalie Arcenal, PMHNP-BC
-
Jessica Buckler, LICSW
-
Christina Cutter, NP
-
Jennifer L Fay, LMHC
-
Bamby Forrest, RN
-
Patrick John Gubbins, PSY.D.
-
Kendra Kobrin, MD/PHD
-
Jesse Tyler Lang, LCSW
-
Shuang Li, M.D.
-
Jennifer D Marlin, DNP, APRN, PMHNP-BC
-
Christopher J Perry, MSW
-
Ashley Lillian Tarr, PMHNP-BC
-
Joan H. Warren, LICSW
-
Nancy Pace, LMSW
-
Meghan Patricia Rogers, LCSW, MSW
-
Susane A. Dickson, M.D.
-
Ellen Ficks, NP
-
Paula Claire Kirby-Long, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040512001098 | MA | Part B Supplier - Clinic/Group Practice | 4183614209 |
Receives reassigned benefits from 24 practitioners Practice locations: Hyannis, MA |
National Provider Directory
- Part of
- Cape Cod Healthcare Inc
Locations
175 W Main St
FL 2
Hyannis, MA 02601
Phone (508) 790-3375
460 W Main St
Hyannis, MA 02601
Phone (508) 790-3300
175 W Main St
FL 2
Hyannis, MA 02601
Phone (508) 790-3375
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
460 W Main St
Hyannis, MA 02601-3653
Mailing address
460 W Main St
Hyannis, MA 02601-3855
Phone (508) 790-3360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301691 | Medicaid | MA | |
| 4312 | Other | MA | DPH LICENSE |
Other names
- Cape Cod Human Services
Other providers in Hyannis, MA
- Cape Cod Healthcare
- Cape Cod Healthcare Inc
- Cape Cod Healthcare Inc
- Cape Cod Healthcare Inc
- Cape Cod Healthcare Inc
- Cape Cod Healthcare Physicians
- Cape Cod Healthcare, Inc
- Cape Cod Hearing Center
- Cape Cod Hearing Services, Inc
- Cape Cod Hospital
All providers in Hyannis, MA · Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.