NPIMap

Organization Active NPI

Berkshire Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Pittsfield, MA
National Provider Identifier
1659436996
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
VQKK Issued in MA
Legal business name
BERKSHIRE MEDICAL CENTER, INC.
Practice address
725 North St
Pittsfield, MA 01201-4109
Phone
(413) 447-2000
Fax
(413) 447-2803
NPI assigned
Dec 27, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
BERKSHIRE MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Mrs. Darlene Rodowicz
Title
Chief Financial Officer
Phone
(413) 447-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X VQKK MA Primary

Addresses

Primary practice location

725 North St
Pittsfield, MA 01201-4109

Mailing address

725 North St
PO Box 4999
Pittsfield, MA 01201-4109
Phone (413) 447-2000

Other identifiers 18

IdentifierTypeStateIssuer
10005746OtherCDPHP
20300OtherMABMC HEALTH NET PLAN
2222004630OtherMABLUE CROSS SDC
HO1478OtherOXFORD
220046OtherHUMANA
991396OtherCONNECTICARE
2222004601OtherMABLUE CROSS INPT
905652OtherTUFTS HEALTH PLAN INPT
0160OtherMVP HEALTH PLAN
2222004610OtherMABLUE CROSS OUTPT
1099981MedicaidMA
1200143MedicaidMA
900357OtherHARVARD PILGRIM HEALTH
260158OtherMAGELLAN BEHAVIORAL HEALT
900201OtherTUFTS HEALTH PLAN OUTPT
10558OtherHEALTH NEW ENGLAND
220046OtherMAUNICARE MA EMPLOYEE GIC
6300730OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080107000150 MA Part A Provider - Hospital 1355232711 Practice locations: Pittsfield, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659436996. Details of each certification follow.

Hospital certification: CCN 22S046

Legal name
BERKSHIRE MEDICAL CENTER INC
Organization structure
CorporationNon-profit
Enrollment address
725 North Street
Pittsfield, MA 12014109
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 7

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

National Provider Directory

National Provider Directory
Tax ID family
Berkshire Medical Cente13 organizations share this tax ID, including this one
Part of
Berkshire Medical Cente

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
David Hall Individual Corporate Director Jan 1, 2019
Alfred a Barbalunga Individual Corporate Director Sep 12, 2017
Susan Kormanik Individual Corporate Director Jan 1, 2011
Berkshire Medical Center Inc Organization, Pittsfield, MA Non-profit 5% Or Greater Direct Ownership Interest Nov 2, 1990 100%
Shannon R McCarthy Individual W-2 Managing EmployeeDirector of Behavioral Health May 14, 2020
Deborah Renzi Individual Corporate OfficerDirector Jan 1, 2024
Leticia S E Haynes Individual Corporate DirectorBoard Member Jan 1, 2021
Jeannette Smith Individual Corporate OfficerDirector` Jan 1, 2024
Brenda Cadorette Individual Corporate OfficerChief Nursing Officer Jun 5, 2011
W-2 Managing EmployeeChief Nursing Officer Jun 5, 2011
Edith Dobelle Individual Corporate Director Sep 12, 2017
BHS Management Services Inc Organization, Pittsfield, MA Non-profit Operational/Managerial Control Oct 1, 1990 100%
David Moresi Individual Corporate OfficerDirector Dec 31, 2024
Lisa Lescarbeau Individual Corporate OfficerBoard Clerk Jan 1, 2025
Anakatina Cordon Suffish Individual Corporate OfficerDirector Jan 1, 2025
Kathleen M McCormick Individual Corporate OfficerDirector Jan 1, 2023
Laurie Moffatt Individual Corporate OfficerDirector Jan 1, 2023
Alec R Belman Individual Corporate DirectorDirector Oct 1, 2022
Shaun V. Cusson Individual Corporate OfficerDirector Jan 1, 2024
Albert a Bravo Individual Corporate Director Apr 9, 2019
James Lederer Individual Corporate OfficerChief Medical Officer Jan 13, 2020
Matthew Lauro Individual Corporate OfficerDirector Jan 1, 2025
Berkshire Health System Inc Organization, Pittsfield, MA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 2, 1990
Edmund H Hornstein Individual Corporate Director Apr 6, 2019
Ashley Benson Individual Corporate DirectorDirector Oct 1, 2025
Frederick W Puddester Individual Corporate OfficerDirector Jan 1, 2023
Scott St George Individual Corporate OfficerChief Financial Officer Nov 2, 2020
Richard Alcombright Individual Corporate Director Jan 1, 2019
Jason M Bratcher Individual Corporate OfficerDirector Jan 1, 2025
Robert Cella Individual Corporate Director Sep 12, 2017
Darlene M Rodowicz Individual Corporate OfficerChief Executive Officer Jan 1, 2005 100%
Corporate Director Jan 1, 2005

Owners & managing parties with NPI records 12

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
Berkshire Medical Center IncPittsfield, MA, CCN 22T046 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 2, 1990
Berkshire Visiting Nurse AssociationPittsfield, MA, CCN 227122 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 2, 1990

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1659436996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "address_2": "PO BOX 4999",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2000",
            "fax_number": "413-447-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2000",
            "fax_number": "413-447-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERKSHIRE MEDICAL CENTER, INC.",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "RODOWICZ",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "413-447-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MA",
            "license": "VQKK",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10005746",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTH NET PLAN",
            "identifier": "20300",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SDC",
            "identifier": "2222004630",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HO1478",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "220046",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "991396",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INPT",
            "identifier": "2222004601",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN INPT",
            "identifier": "905652",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "0160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OUTPT",
            "identifier": "2222004610",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1099981",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200143",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "900357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "260158",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN OUTPT",
            "identifier": "900201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "10558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE MA EMPLOYEE GIC",
            "identifier": "220046",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6300730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.