NPIMap

Organization Active NPI

Colony Care Inc

Doing business as Colony Care Behavioral Health

  • Mental Health Counselor
  • Wellesley, MA
National Provider Identifier
1720053408
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COLONY CARE INC
Doing business as
Colony Care Behavioral Health
Practice address
11 River St
Wellesley, MA 02481-2098
Phone
(781) 431-1177
Fax
(781) 431-1181
NPI assigned
Feb 17, 2006
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Gregory A Serrao
Title
President
Phone
(781) 431-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

11 River St
Wellesley, MA 02481-2098

Mailing address

11 River St
Wellesley, MA 02481-2098
Phone (781) 431-1177

Other identifiers 2

IdentifierTypeStateIssuer
42304OtherMAMAGELLAN
732804OtherMATUFTS

Other names 1

  • Colony Care Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040810001192 MA Part B Supplier - Clinic/Group Practice 0042282055 Receives reassigned benefits from 40 practitioners
Practice locations: Arlington, MA; Wellesley, MA; Weymouth, MA; Yarmouth Port, MA

National Provider Directory

National Provider Directory

Locations

175 Dwight Rd
Ste 204
Longmeadow, MA 01106
Phone (781) 431-1177

2 Main St
Ste 2A
Plymouth, MA 02360

11 River St
Wellesley Hills, MA 02481
Phone (781) 237-7979

210 Winter St
Ste 105
Weymouth, MA 02188
Phone (617) 312-7818

210 Winter St
Ste 306
Weymouth, MA 02188

923 Route 6A
Ste O
Yarmouth Port, MA 02675
Phone (508) 362-4250

Practitioners & affiliated clinicians

Practitioners 106

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 106

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1720053408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RIVER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812098",
            "telephone_number": "781-431-1177",
            "fax_number": "781-431-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RIVER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812098",
            "telephone_number": "781-431-1177",
            "fax_number": "781-431-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "SERRAO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-431-1177"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "42304",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "732804",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colony Care Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colony Care Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.