NPIMap

Organization Active NPI

Marthas Vineyard Community Services Inc.

  • Community/Behavioral Health Agency
  • Vineyard Haven, MA
National Provider Identifier
1639425317
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
261QM0801X Issued in MA
Legal business name
MARTHAS VINEYARD COMMUNITY SERVICES INC.
Practice address
111 Edgartown Road
Vineyard Haven, MA 02568
Phone
(508) 693-7900
Fax
(508) 693-7192
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Jane Sarno, MSW
Title
Clinician
Phone
(508) 693-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 261QM0801X MA Primary

Addresses

Primary practice location

111 Edgartown Road
Vineyard Haven, MA 02568

Mailing address

111 Edgartown Rd
Vineyard Haven, MA 02568-5601
Phone (508) 693-7900

National Provider Directory

National Provider Directory
Tax ID family
Island Counseling5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1639425317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685601",
            "telephone_number": "508-693-7900",
            "fax_number": "508-693-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN ROAD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "02568",
            "telephone_number": "508-693-7900",
            "fax_number": "508-693-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHAS VINEYARD COMMUNITY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "SARNO",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "508-693-7900",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "261QM0801X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard Haven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.