NPIMap

Organization Active NPI

Nova Psychiatric Services, PC

Doing business as Prime Behavioral Health

  • Community/Behavioral Health Agency
  • Quincy, MA
National Provider Identifier
1881782522
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NOVA PSYCHIATRIC SERVICES, PC
Doing business as
Prime Behavioral Health
Practice address
234 Copeland Street Ste 320
Quincy, MA 02169-4762
Phone
(617) 479-4545
Fax
(617) 479-4555
NPI assigned
Oct 10, 2006
Last updated
Mar 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Alexandra L Accardi, M.D.NPI 1740219195
Title
Medical Director, Owner
Phone
(617) 479-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

234 Copeland Street Ste 320
Quincy, MA 02169-4762

Mailing address

1261 Furnace Brook Parkway Suite 31
Quincy, MA 02169-4721
Phone (617) 479-4545

Other identifiers 1

IdentifierTypeStateIssuer
110072540AMedicaidMA

Other names 1

  • Prime 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
O20040109000776 MA Part B Supplier - Clinic/Group Practice 4183524887 Receives reassigned benefits from 18 practitioners
Practice locations: Quincy, MA; Weymouth, MA

National Provider Directory

National Provider Directory

Locations

130 Liberty St
Ste 6
Brockton, MA 02301
Phone (508) 857-0709

1261 Furnace Brook Pkwy
Ste 22
Quincy, MA 02169
Phone (617) 302-2481

234 Copeland St
Ste 320
Quincy, MA 02169
Phone (617) 786-0137

Practitioners & affiliated clinicians

Practitioners 91

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 91

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1881782522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 FURNACE BROOK PARKWAY SUITE 31",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694721",
            "telephone_number": "617-479-4545",
            "fax_number": "617-479-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 COPELAND STREET STE 320",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694762",
            "telephone_number": "617-479-4545",
            "fax_number": "617-479-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PSYCHIATRIC SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "ACCARDI",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, OWNER",
        "authorized_official_telephone_number": "617-479-4545",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110072540A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.