NPIMap

Organization Active NPI

Baystate Wing Hospital Corporation

  • Psychiatric Hospital Unit
  • Palmer, MA
National Provider Identifier
1992880736
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
2181 Issued in MA
Legal business name
BAYSTATE WING HOSPITAL CORPORATION
Practice address
40 Wright St
Palmer, MA 01069-1138
Phone
(413) 283-7651
Fax
(413) 284-5117
NPI assigned
Oct 26, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Raymond McCarthy
Title
Sr. VP, Cfo & Treasurer BH
Phone
(413) 794-3290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 2181 MA Primary

Addresses

Primary practice location

40 Wright St
Palmer, MA 01069-1138

Mailing address

40 Wright St
Palmer, MA 01069-1138
Phone (413) 370-5285

Other names 1

  • Baystate Wing Hospital Inpatient Psych Units Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

National Provider Directory

National Provider Directory

Member of 1

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

Locations

20 Daniel Shays Hwy
Belchertown, MA 01007
Phone (413) 323-5118

95 Sargent St
Fl 1
Belchertown, MA 01007

42 Wright St
Fl 2
Palmer, MA 01069

42B Wright St
Palmer, MA 01069
Phone (413) 283-9715

4 Springfield St
Three Rivers, MA 01080
Phone (413) 283-9715

Practitioners & affiliated clinicians

Practitioners 110

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 110

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1992880736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WRIGHT ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691138",
            "telephone_number": "413-370-5285",
            "fax_number": "413-370-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WRIGHT ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691138",
            "telephone_number": "413-283-7651",
            "fax_number": "413-284-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE WING HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "SR. VP, CFO & TREASURER BH",
        "authorized_official_telephone_number": "413-794-3290"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MA",
            "license": "2181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Baystate Wing Hospital Inpatient Psych Units",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Baystate Wing Hospital Inpatient Psych Units",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palmer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.