Steadfast Behavioral Health Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

STEADFAST BEHAVIORAL HEALTH INC

Practice address

293 Washington St
Norwell, MA 02061-1781

Phone

(561) 400-9546

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Mark Macaluso

Title

Co Founder

Phone

(561) 400-9546

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Conway, NP, CNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Brockton, MA
  • NPI 1790957413
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1831707231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611781",
            "telephone_number": "561-400-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEADFAST BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "MACALUSO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CO FOUNDER",
        "authorized_official_telephone_number": "561-400-9546"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joe@brookretreat.org",
            "affiliation": "N",
            "address_1": "293 Washington St",
            "city": "Norwell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020611781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jessica Lee Stanley, APRN
• Star Dental LLC
• Joshua Steele
• Jessica Elizabeth Stevens, RN
• Lauren Stevens, LMT
• Michelle Nicole Stevens, RBT
• Kelly Mary Stever

• Psychiatry Physician in Norwell, MA
• Providers in Norwell, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.