NPIMap

Organization Active NPI

Baystate Medical Center Inc

  • Psychiatric Hospital Unit
  • Springfield, MA
National Provider Identifier
1497756282
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
2339
Legal business name
BAYSTATE MEDICAL CENTER INC
Practice address
759 Chestnut St
Springfield, MA 01199-1001
Phone
(413) 794-0000
NPI assigned
Aug 3, 2005
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Raymond McCarthy
Title
Sr. VP, Cfo & Treasurer
Phone
(413) 794-3290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 2339 Primary

Addresses

Primary practice location

759 Chestnut St
Springfield, MA 01199-1001

Mailing address

759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-0000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070503000229 MA Part A Provider - Hospital 9931184496 Practice locations: Springfield, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497756282. Details of each certification follow.

Hospital certification: CCN 22S077

Legal name
BAYSTATE MEDICAL CENTER INC.
Doing business as
BAYSTATE MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
759 Chestnut St
Springfield, MA 11991001
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Baystate Medical Center Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3750 Convoy St
Ste 301
San Diego, CA 92111

Ownership & related parties

All disclosed owners & managing parties 28

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stuart a Anfang Individual Corporate Officer Jul 2, 2025
Mark a O'Connell Individual Corporate Director Jan 1, 2023
Nicolas Jabbour Individual Corporate Director Jan 1, 2024
Julie Quink Individual Corporate Director Jan 1, 2024
Ruth H Constantine Individual Corporate Director Feb 8, 2022
Keith Nesbitt Individual Corporate Officer Jul 1, 2025
Ronald Bryant Individual Corporate OfficerPresident Sep 12, 2025
Kristin R Delaney Individual Contracted Managing Employee Mar 1, 2020
Corporate OfficerClerk Feb 9, 2009
Paul Gosselin Individual Corporate Director Jun 18, 2026
Nancy Remillard Individual Corporate OfficerAssistant Clerk Nov 13, 2018
Peter Banko Individual Corporate OfficerPresident & Ceo Baystate Health Jun 3, 2024
Corporate DirectorPresident & Ceo Baystate Health Jun 3, 2024
Linda Thompson Individual Corporate Director Jan 1, 2023
Claudia R Coplein Individual Corporate Director Jan 1, 2017
Denise R. Jordan Individual Corporate Director Jan 1, 2020
Baystate Health, Inc Organization, Springfield, MA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2005 100%
Madeline Landrau Individual Corporate Director Jan 1, 2024
Akinyele K Lovelace Individual Corporate DirectorVice Chair Jan 1, 2020
Paul C. Picknelly Individual Corporate Director Jan 1, 2020
Harriet a Deverry Individual Corporate Director Sep 12, 2025
Colleen W Holmes Individual Corporate OfficerChair Jan 1, 2023
Corporate Director Jan 1, 2017
Richard D Bossie Individual Corporate Director Jan 1, 2022
Antonio E Dos-Santos Individual Corporate Director Jan 1, 2023
Baystate Administrative Services, Inc. Organization, Springfield, MA Non-profit Operational/Managerial Control Sep 15, 1986
Maria P Goncalves Individual Corporate Director Jan 1, 2018
Irene Rodriguez-Martin Individual Corporate Director Jan 1, 2018
William R Webber Individual Corporate Director Jan 1, 2017
Laurie Martin Individual Corporate OfficerTreasurer Sep 12, 2025
Baystate Medical Center Inc. Organization, Springfield, MA Operational/Managerial Control Apr 1, 1983

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baystate Medical CenterSpringfield, MA, CCN 220077 Hospital Operational/Managerial Control Apr 1, 1983
Valley Springs Behavioral Health HospitalHolyoke, MA, CCN 224047 Hospital 5% Or Greater Direct Ownership Interest (49%) Oct 13, 2020

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1497756282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "SR. VP, CFO & TREASURER",
        "authorized_official_telephone_number": "413-794-3290"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": "2339",
            "primary": true
        }
    ],
    "identifiers": [],
    "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",
            "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": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.