NPIMap

Organization Active NPI

The Commonwealth of Massachusetts

Doing business as Westborough State Hospital

  • Psychiatric Hospital
  • Westborough, MA
National Provider Identifier
1740358878
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Doing business as
Westborough State Hospital
Practice address
288 Lyman St
Westborough, MA 01581-2633
Phone
(508) 616-2100
Fax
(508) 616-2875
NPI assigned
Nov 30, 2006
Last updated
Dec 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Mr. Joel Skolnick
Title
Hospital Coo
Phone
(508) 616-2869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

288 Lyman St
Westborough, MA 01581-2633

Mailing address

PO Box 288
Lyman Street
Westborough, MA 01581-0288
Phone (508) 616-2100

Other identifiers 1

IdentifierTypeStateIssuer
1102435MedicaidMA

Other names 1

  • Westborough State Hospital Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1740358878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 288",
            "address_2": "LYMAN STREET",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015810288",
            "telephone_number": "508-616-2100",
            "fax_number": "508-616-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 LYMAN ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812633",
            "telephone_number": "508-616-2100",
            "fax_number": "508-616-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "HOSPITAL COO",
        "authorized_official_telephone_number": "508-616-2869",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102435",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westborough State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.