The Mercy Hospital Inc

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

628 Issued in MA

Legal business name

THE MERCY HOSPITAL INC

Doing business as

Providence Behavioral Health Hospital

Practice address

1233 Main St
Holyoke, MA 01040

Phone

(413) 536-5111

NPI assigned

Sep 1, 2005

Last updated

Dec 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James M Harris

Title

Regional Director of Reimbursement

Phone

(860) 714-4396

Specialties & licenses 3

Addresses

Other identifiers 8

Other names 1

• PROVIDENCE BEHAVIORAL HEALTH HOSPITAL Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Mercy Hospital Inc

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1043204316

  O20050601000526

  Same enrollment

Locations

Practitioners 127

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.

• Tamer Bahgat, PA-C

  • Physician Assistant
  • Springfield, MA
  • NPI 1013938356
  NPD
• Michelle Burgess, PAC

  • Physician Assistant
  • South Deerfield, MA
  • NPI 1508835018
  NPD
• Ari Joshua Kriegsman, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Springfield, MA
  • NPI 1962781021
  NPD
• Anissa H Newman, PA-C

  • Medical Physician Assistant
  • Springfield, MA
  • NPI 1275603169
  NPD
• Emily Payne, PA-C

  • Medical Physician Assistant
  • Springfield, MA
  • NPI 1184023814
  NPD
• Mary Connell Tarail, M.D.

  • Geriatric Psychiatry Physician
  • Holyoke, MA
  • NPI 1366493082
  NPD
• Erika Hajati, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartford, CT
  • NPI 1194050187
  NPD
• Allana R Lee, D.O.

  • Child & Adolescent Psychiatry Physician
  • Manchester, CT
  • NPI 1053503904
  NPD
• Julie Connors Abert, NP

  • Gerontology Nurse Practitioner
  • Feeding Hills, MA
  • NPI 1912981564
  NPD (past)
• Tazeen Aleem, MD

  • Internal Medicine Physician
  • Holyoke, MA
  • NPI 1760466494
  NPD (past)
• Risa Aronson-Fox, D.O.

  • Internal Medicine Physician
  • Ludlow, MA
  • NPI 1255426136
  NPD (past)
• Katharine Badger, PA

  • Physician Assistant
  • Springfield, MA
  • NPI 1225454622
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1629062906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381",
            "telephone_number": "413-536-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "01040",
            "telephone_number": "413-536-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MERCY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "860-714-4396"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MA",
            "license": "628",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "35",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MA",
            "license": "628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027346D",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASS OP SUR",
            "identifier": "2222002330",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASS INPT",
            "identifier": "2222002305",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASS OUTPT",
            "identifier": "2222002325",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027346F",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027346C",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3032125",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9105905",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE BEHAVIORAL HEALTH HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Children's Heart Center of Western Massachusetts, LLC
• The Commonwealth of Massachusetts (Soldiers' Home in Holyoke)
• The Geriatric Authority of Holyoke
• The Geriatric Authority of Holyoke
• The Holyoke Young Men's Christian Association
• The Pomegranate Institute, PLLC
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #30)
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy 9)
• Robin Therrien, L.I.C.S.W
• Bailey Claire Thomas

• Psychiatric Hospital in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Psychiatric Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.