NPIMap

Organization Active NPI

Martha'S Vineyard Community Services

  • Community/Behavioral Health Agency
  • Vineyard Haven, MA
National Provider Identifier
1891128484
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARTHA'S VINEYARD COMMUNITY SERVICES
Practice address
111 Edgartown Rd
Vineyard Haven, MA 02568-5601
Phone
(508) 693-7900
NPI assigned
Aug 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Julie Fay
Title
Executive Director
Phone
(508) 639-7900

Specialties & licenses 1

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

Addresses

Primary practice location

111 Edgartown Rd
Vineyard Haven, MA 02568-5601

Mailing address

111 Edgartown Rd
Vineyard Haven, MA 02568-5601
Phone (508) 693-7900

Other names 1

  • Island Counseling Other name

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
22D2287975Martha'S Vineyard Community Services111 Edgartown Rd, Vineyard Haven, MA 02568Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Island Counseling5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1891128484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685601",
            "telephone_number": "508-693-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685601",
            "telephone_number": "508-693-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA'S VINEYARD COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-639-7900"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vineyard Haven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.