Baystate Franklin Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

2120 Issued in MA

Legal business name

BAYSTATE FRANKLIN MEDICAL CENTER

Practice address

164 High St
Greenfield, MA 01301-2613

Phone

(413) 773-0211

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Raymond McCarthy

Title

Sr VP, Cfo & Treas, Baystate Health

Phone

(413) 794-3290

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan Chavarria-Siles, M.D.

  • Psychiatry Physician
  • Greenfield, MA
  • NPI 1316212780
  NPD (past)
• Ann E Vandyke, M.D.

  • Psychiatry Physician
  • Leeds, MA
  • NPI 1619088028
  NPD (past)
• Saurabh Dahiya, M.D

  • Hematology (Internal Medicine) Physician
  • Stanford, CA
  • NPI 1184943730
  NPD (past)
• Kevin Michael McDonnell, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1578548533
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1487655874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 HIGH ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012613",
            "telephone_number": "413-773-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 HIGH ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012613",
            "telephone_number": "413-773-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE FRANKLIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "SR VP, CFO & TREAS, BAYSTATE HEALTH",
        "authorized_official_telephone_number": "413-794-3290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MA",
            "license": "2120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024350G",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marie D Bartlett, MSW
• Aurora Stillerman Bartley
• Jill M Bascomb, MD
• Tom John Bauer
• Aaron David Baugh
• Baystate Franklin Medical Center
• Baystate Health System Ambulance, Inc
• Baystate Medical Center Inc.
• BC Redesign LLC
• Jane R Bean, LIC. AC.

• All providers in Greenfield, MA
• Psychiatric Hospital Unit in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.