Individual provider Active NPI

Mary Connell Tarail, M.D.

  • Geriatric Psychiatry Physician
  • Holyoke, MA
National Provider Identifier
1366493082
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
230267 Issued in MA
Practice address
1233 Main St
Providence Behavioral Health Hospital
Holyoke, MA 01040-5381
Phone
(413) 493-2765
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 206813 NY
Geriatric Psychiatry Physician 2084P0805X 230267 MA Primary

Addresses

Primary practice location

1233 Main St
Providence Behavioral Health Hospital
Holyoke, MA 01040-5381

Mailing address

1233 Main Street
Holyoke, MA 01040-1315
Phone (413) 552-6839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000421 MA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7315039468 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
230267MAMDGeriatric Psychiatry Physician
206813NYMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Inpatient Medical Associates Inc. CurrentSince Apr 14, 2020 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Jul 18, 2023 Accepting new patients
The Mercy Hospital Inc CurrentSince May 26, 2017 Accepting new patients
The Mercy Hospital Inc CurrentSince May 26, 2017 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Jul 18, 2023 Accepting new patients
Mercy Specialist Physicians Inc PastSince Mar 10, 2013 Accepting new patients
Springfield Park View Hospital, LLC Past Accepting new patients
Western Massachusetts Behavioral Hospital LLC Past Accepting new patients

Locations

1221 Main St
Holyoke, MA 01040
Phone (413) 534-0209

1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819

45 Lower Westfield Rd
Holyoke, MA 01040
Phone (413) 315-4100

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

401 Chestnut St
#1
Springfield, MA 01104
Phone (413) 737-3526

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

300 Stafford St
Ste 305
Springfield, MA 01104
Phone (413) 737-2122

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1366493082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 MAIN STREET",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401315",
            "telephone_number": "413-552-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "address_2": "PROVIDENCE BEHAVIORAL HEALTH HOSPITAL",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381",
            "telephone_number": "413-493-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAIL",
        "first_name": "MARY",
        "middle_name": "CONNELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "206813",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "230267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.