Baystate Medical Center Inc
Organization Active NPI Psychiatric Hospital Unit · Springfield, MA
NPI 1497756282 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1497756282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 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
- Organization subpart
- No
Authorized official
- Name
- Raymond McCarthy
- Title
- Sr. VP, Cfo & Treasurer
- Phone
- (413) 794-3290
Owners & managing parties with NPI records 5
-
Stuart Alan Anfang, M.D.
-
Nicolas Jabbour, MD
-
Akinyele Kamau Lovelace, D.O.
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 10
Related certifications (CCN) 2
Facilities with the same owner 8
Practitioners 23
-
Lawrence C Peters, M.D.
-
Sukhdeep Singh, M.D.
-
Sanford Smoot, MD
-
Carmel Armon, MD
-
Scott M Cinelli, DO
-
Ella Aseemjot Gupta, D.O
-
Aarush Manchanda, M.D.
-
Mina Moussavian-Assadi, M.D.
-
Colin D Shafer, M.D.
-
Myat H Soe, M.D.
-
Maya Vaysbrot, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Hospital certification: CCN 22S077
- Legal name
- BAYSTATE MEDICAL CENTER INC.
- Doing business as
- BAYSTATE MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 759 Chestnut St
Springfield, MA 11991001 - Hospital subgroups
- Psychiatric unit
All disclosed owners & managing parties 28
| Name | Role | Since | Share |
|---|---|---|---|
| Stuart a Anfang |
Corporate Officer | Jul 2, 2025 | |
| Mark a O'Connell |
Corporate Director | Jan 1, 2023 | |
| Nicolas Jabbour |
Corporate Director | Jan 1, 2024 | |
| Julie Quink |
Corporate Director | Jan 1, 2024 | |
| Ruth H Constantine |
Corporate Director | Feb 8, 2022 | |
| Keith Nesbitt |
Corporate Officer | Jul 1, 2025 | |
| Ronald Bryant |
Corporate Officer |
Sep 12, 2025 | |
| Kristin R Delaney |
Contracted Managing Employee | Mar 1, 2020 | |
| Corporate Officer |
Feb 9, 2009 | ||
| Paul Gosselin |
Corporate Director | Jun 18, 2026 | |
| Nancy Remillard |
Corporate Officer |
Nov 13, 2018 | |
| Peter Banko |
Corporate Officer |
Jun 3, 2024 | |
| Corporate Director |
Jun 3, 2024 | ||
| Linda Thompson |
Corporate Director | Jan 1, 2023 | |
| Claudia R Coplein |
Corporate Director | Jan 1, 2017 | |
| Denise R. Jordan |
Corporate Director | Jan 1, 2020 | |
| Baystate Health, Inc |
5% Or Greater Direct Ownership Interest | Aug 1, 2005 | 100% |
| Madeline Landrau |
Corporate Director | Jan 1, 2024 | |
| Akinyele K Lovelace |
Corporate Director |
Jan 1, 2020 | |
| Paul C. Picknelly |
Corporate Director | Jan 1, 2020 | |
| Harriet a Deverry |
Corporate Director | Sep 12, 2025 | |
| Colleen W Holmes |
Corporate Officer |
Jan 1, 2023 | |
| Corporate Director | Jan 1, 2017 | ||
| Richard D Bossie |
Corporate Director | Jan 1, 2022 | |
| Antonio E Dos-Santos |
Corporate Director | Jan 1, 2023 | |
| Baystate Administrative Services, Inc. |
Operational/Managerial Control | Sep 15, 1986 | |
| Maria P Goncalves |
Corporate Director | Jan 1, 2018 | |
| Irene Rodriguez-Martin |
Corporate Director | Jan 1, 2018 | |
| William R Webber |
Corporate Director | Jan 1, 2017 | |
| Laurie Martin |
Corporate Officer |
Sep 12, 2025 | |
| Baystate Medical Center Inc. |
Operational/Managerial Control | Apr 1, 1983 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Baystate Medical Center |
Hospital | Operational/Managerial Control | Apr 1, 1983 |
| Valley Springs Behavioral Health Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (49%) | Oct 13, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070503000229 | MA | Part a Provider - Hospital | 9931184496 | Practice locations: Springfield, MA |
National Provider Directory
- Tax ID family
- Baystate Medical Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 2339 | Yes |
Addresses
Primary practice location
759 Chestnut St
Springfield, MA 01199-1001
Mailing address
759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002554 | Medicaid | MA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
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All providers in Springfield, MA · Psychiatric Hospital Unit in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.