NPIMap

Organization Active NPI

Dva

  • Psychiatric Hospital
  • Leeds, MA
National Provider Identifier
1972538783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
002701 Issued in CT
Legal business name
DVA
Practice address
421 N Main St
VA Medical Center
Leeds, MA 01053-9764
Phone
(413) 582-3038
NPI assigned
Jul 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Denise Cavanaugh
Title
Credentiling Coordinator
Phone
(413) 584-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 002701 CT Primary

Addresses

Primary practice location

421 N Main St
VA Medical Center
Leeds, MA 01053-9764

Mailing address

421 North Main Street
VA Medical Center
Leeds, MA 01053-9764
Phone (413) 582-3038

Other identifiers 1

IdentifierTypeStateIssuer
002701OtherCTLCSW

Other names 1

  • VAMC Northampton Other name

National Provider Directory

National Provider Directory
Tax ID family
Boston Healthcare VA179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972538783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NORTH MAIN STREET",
            "address_2": "VA MEDICAL CENTER",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010539764",
            "telephone_number": "413-582-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N MAIN ST",
            "address_2": "VA MEDICAL CENTER",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010539764",
            "telephone_number": "413-582-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CREDENTILING COORDINATOR",
        "authorized_official_telephone_number": "413-584-4040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CT",
            "license": "002701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "002701",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VAMC Northampton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leeds, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.