NPIMap

Organization Active NPI

The Commonwealth of Massachusetts

Doing business as Cape Cod and Islands Community Mental Health Center-IPD

  • Psychiatric Hospital
  • Pocasset, MA
National Provider Identifier
1851477491
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
EXEMPT Issued in MA
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Doing business as
Cape Cod and Islands Community Mental Health Center-IPD
Practice address
830 County Rd
Pocasset, MA 02559-2110
Phone
(508) 564-9600
Fax
(508) 564-9700
NPI assigned
Oct 27, 2006
Last updated
May 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE COMMONWEALTH OF MASSACHUSETTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Debra Ellen Demuth
Title
Center Director
Phone
(508) 564-9628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X EXEMPT MA Primary

Addresses

Primary practice location

830 County Rd
Pocasset, MA 02559-2110

Mailing address

830 County Rd
Pocasset, MA 02559-2110
Phone (508) 564-9600

Other identifiers 2

IdentifierTypeStateIssuer
CAP2222401901OtherMABLUE CROSS/BLUE SHIELD
110000084FMedicaidMA

Other names 1

  • Cape Cod and Islands Community Mental Health Center-IPD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040609001391 MA Part B Supplier - Clinic/Group Practice 8820906860 Receives reassigned benefits from 45 practitioners
1 other NPI on this enrollment
Practice locations: Pocasset, MA
O20171128000736 MA Part A Provider - Hospital 8820906860 1 other NPI on this enrollment
Practice locations: Pocasset, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851477491. Details of each certification follow.

Hospital certification: CCN 224031

Legal name
THE COMMONWEALTH OF MASSACHUSETTS
Doing business as
CAPE COD AND THE ISLANDS MENTAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 7, 1992
Last certification
Apr 17, 2014
Beds
16
Ownership / control type
State
Organization structure
Government
Enrollment address
830 County Rd
Pocasset, MA 25592110
Hospital Rehabilitation Unit
Hospital subgroups
Psychiatric unit

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Cape Cod & Islands Community Mental Health CenterCCN 224031 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0934182Cape Cod & Islands Mental Health Center830 County Road, Pocasset, MA 02559Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory
Part of
Mass Mental Health Cent

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

830 County Rd
Pocasset, MA 02559
Phone (508) 564-9600

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Suzanne Plasse Individual W-2 Managing EmployeeRegional Director Oct 25, 2025 100%
Theresa Silva Individual W-2 Managing EmployeeFacility Director Oct 1, 2025 100%
The Commonwealth of Massachusetts Organization, Boston, MA 5% Or Greater Direct Ownership Interest Feb 2, 1989 100%

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tewksbury HospitalTewksbury, MA, CCN 222003 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Lemuel Shattuck HospitalJamaica Plain, MA, CCN 222006 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Dr. John C Corrigan Mental Health CenterFall River, MA, CCN 224028 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 2, 1989
Solomon Carter Fuller Mental Health CenterBoston, MA, CCN 224040 Hospital Operational/Managerial Control (100%) Dec 26, 2008
Worcester Recovery Center and HospitalWorcester, MA, CCN 224032 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 17, 1992
Taunton State HospitalTaunton, MA, CCN 224001 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1986
Massachusetts Veterans' Home in ChelseaChelsea, MA, CCN 225110 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 1, 2023
Jul 1, 1966
Massachusetts Veterans' Home of HolyokeHolyoke, MA, CCN 225786 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 6, 2025
May 6, 2025

Owned or controlled facilities with NPI records 10

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1851477491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 COUNTY RD",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025592110",
            "telephone_number": "508-564-9600",
            "fax_number": "508-564-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 COUNTY RD",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025592110",
            "telephone_number": "508-564-9600",
            "fax_number": "508-564-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "DEMUTH",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "508-564-9628"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MA",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "CAP2222401901",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000084F",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Cod and Islands Community Mental Health Center-IPD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cape Cod and Islands Community Mental Health Center-IPD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocasset, MA

Sources for this page

Verify at the official NPI Registry.