NPIMap

Organization Active NPI

Spectrum Health Systems, Inc

  • Community/Behavioral Health Agency
  • Worcester, MA
National Provider Identifier
1346430253
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPECTRUM HEALTH SYSTEMS, INC
Practice address
585 Lincoln St
Worcester, MA 01605-1906
Phone
(508) 854-3320
Fax
(508) 753-5051
NPI assigned
Jul 26, 2007
Last updated
Apr 29, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECTRUM HEALTH SYSTEMS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Ms. Janet J Langlois
Title
Cfo/Treasurer
Phone
(508) 792-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

585 Lincoln St
Worcester, MA 01605-1906

Mailing address

10 Mechanic St.
Suite 302
Worcester, MA 01608
Phone (508) 792-5400

Other identifiers 6

IdentifierTypeStateIssuer
1002900OtherMABEACON
690527OtherMATUFTS
1308785MedicaidMA
M18684OtherMABCBS
000000008463OtherMABMC HEALTHNET
1306421OtherMAMBHP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715000611 MA Part B Supplier - Clinic/Group Practice 8224017082 Receives reassigned benefits from 57 practitioners
2 other NPIs on this enrollment
Practice locations: Haverhill, MA; Worcester, MA; Weymouth, MA; Westborough, MA; Waltham, MA; Southbridge, MA; Pittsfield, MA; North Adams, MA…

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Spectrum Health System

Locations

100 Plaistow Rd
Ste B
Haverhill, MA 01830
Phone (978) 373-4985

200 E Main St
Milford, MA 01757
Phone (508) 634-1877

210 Bear Hill Rd
Ste 203
Waltham, MA 02451
Phone (781) 290-4970

149 Oak St
Westborough, MA 01581

154 Oak St
Westborough, MA 01581
Phone (508) 898-1570

585 Lincoln St
Worcester, MA 01605
Phone (508) 831-0045

Practitioners & affiliated clinicians

Practitioners 99

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 99

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1346430253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MECHANIC ST.",
            "address_2": "SUITE 302",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01608",
            "telephone_number": "508-792-5400",
            "fax_number": "508-831-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051906",
            "telephone_number": "508-854-3320",
            "fax_number": "508-753-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH SYSTEMS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM HEALTH SYSTEMS, INC",
        "enumeration_date": "2007-07-26",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "LANGLOIS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO/TREASURER",
        "authorized_official_telephone_number": "508-792-5400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1002900",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "690527",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308785",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18684",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000008463",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1306421",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.