NPIMap

Organization Active NPI

Behavioral Health Network Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
National Provider Identifier
1477582609
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
4083 Issued in MA
Legal business name
BEHAVIORAL HEALTH NETWORK INC
Practice address
417 Liberty St
Springfield, MA 01104-3736
Phone
(413) 519-9495
Fax
(413) 732-7075
NPI assigned
Jul 1, 2006
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Ms. Katherine B. Wilson
Title
President & Ceo
Phone
(413) 747-0705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 4083 MA Primary

Addresses

Primary practice location

417 Liberty St
Springfield, MA 01104-3736

Mailing address

PO Box 2738
Springfield, MA 01101-2738
Phone (413) 519-9495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040608001373 MA Part B Supplier - Clinic/Group Practice 3072596360 Receives reassigned benefits from 214 practitioners
Practice locations: Haverhill, MA; Westfield, MA; Ware, MA; Springfield, MA; Somerville, MA; Lawrence, MA; Hyannis, MA; Holyoke, MA…
O20050615000162 MA Part A Provider - Community Mental Health Center 3072596360 Practice locations: Springfield, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477582609. Details of each certification follow.

  • CCN 224626 Community mental health center · Active · Name & address match · Details

Community mental health center certification: CCN 224626

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMMUNITY CARE MENTAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Community mental health center
Participating since
Nov 16, 2005
Last certification
Jul 18, 2018
Ownership / control type
For profit – corporation
Facility address
417 Liberty Street
Springfield, MA 01104

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

230 Maple St
Ste 350
Holyoke, MA 01040
Phone (413) 272-0715

235 Maple St
Holyoke, MA 01040
Phone (413) 532-0389

96 South St
Ware, MA 01082
Phone (413) 867-6241

Practitioners & affiliated clinicians

Practitioners 225

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 225

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": "1728345600000",
    "number": "1477582609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2738",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011012738",
            "telephone_number": "413-519-9495",
            "fax_number": "413-732-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 LIBERTY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043736",
            "telephone_number": "413-519-9495",
            "fax_number": "413-732-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "413-747-0705",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "4083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.