BRIGHAM AND WOMEN'S FAULKNER HOSPITAL, INC. (NPI# 1033121025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033121025 |
| Entity Type | Organization |
| Organization Name | BRIGHAM AND WOMEN'S FAULKNER HOSPITAL, INC. |
| Practice Address |
1153 Centre St Boston MA 02130-3446 |
| Practice Telephone | 6179837470 |
| Practice Fax Number | 6179837240 |
| Mailing Telephone | 6179837470 |
| Mailing Fax Number | 6179837240 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2012-10-01 |
| Authorized Official Name | MR. VINCENT T MCDERMOTT (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6179837159 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 2869 | MA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1002333 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporation | BRIGHAM AND WOMEN'S FAULKNER HOSPITAL, INC. | 1153 CENTRE ST. , BOSTON, MA 02130 |
| Virginia Business Entity | Brigham and Women's Faulkner Hospital, Inc. | 1153 CENTRE STREET , BOSTON, MA 02130 |
| Street Address |
1153 CENTRE ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995806 | Eleanor C Pitts | Plastic Surgery | 1153 Centre St, Suite 5790, Boston, MA 02130-3446 | 2005-07-13 |
| 1720614902 | Connie Hoi Lio | Pharmacist | 1153 Centre St, Boston, MA 02130-3446 | 2020-03-19 |
| 1558908699 | Emily Gill | Social Worker | 1153 Centre St, Boston, MA 02130-3446 | 2019-12-09 |
| 1740824531 | Kelly Ann Flanagan | Dietitian, Registered | 1153 Centre St, Boston, MA 02130-3446 | 2019-11-05 |
| 1548726870 | Caitlin Losi | Physician Assistant | 1153 Centre St, Boston, MA 02130-3446 | 2019-02-12 |
| 1598240251 | Audrey Claire Steffano | Social Worker | 1153 Centre St, Boston, MA 02130-3446 | 2018-09-28 |
| 1629552062 | Nicolas Mcqueen | Social Worker | 1153 Centre St, Psychiatry 2nd Floor, Boston, MA 02130-0213 | 2018-09-21 |
| 1174007066 | Elyse Joelle Yarmosky | Social Worker | 1153 Centre St, Boston, MA 02130-3446 | 2018-09-18 |
| 1356841407 | Matt Hoffman | Specialist/Technologist | 1153 Centre St, Boston, MA 02130-3446 | 2018-02-15 |
| 1740797414 | Andrea Guarente | Nurse Practitioner | 1153 Centre St, Boston, MA 02130-3446 | 2018-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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| 1285759464 | The Commonwealth of Massachusetts | Psychiatric Unit | 85 E Newton St, Boston, MA 02118-2340 | 2007-03-20 |
| 1922151802 | Commonwealth of Mass. - Erich Lindemann Mental Health Center | Psychiatric Unit | 25 Staniford St, Plaza Level, Boston, MA 02114-2503 | 2007-01-22 |
| 1316001761 | Caritas St.elizabeth's Medical Center-psychiatry | Psychiatric Unit | 736 Cambridge St, Boston, MA 02135-2907 | 2006-12-20 |
| 1902974884 | Caritas St Elizabeth's Medical Center-psychiatry | Psychiatric Unit | 736 Cambridge St, Boston, MA 02135-2907 | 2006-12-01 |
| 1447344437 | Beth Israel Deaconess Medical Center | Psychiatric Unit | 330 Brookline Ave, St-207, Boston, MA 02215-5400 | 2006-10-03 |
| 1710910427 | Franciscan Hospital for Children, Inc. | Psychiatric Unit | 30 Warren St, Boston, MA 02135-3602 | 2006-07-08 |
| 1053350306 | Tufts Medical Center, Inc. | Psychiatric Unit | 750 Washington St, Box 451, Boston, MA 02111-1526 | 2006-06-05 |
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| 1528261690 | Northshore Medical Center | Psychiatric Unit | 172 Lafayette St., Salem, MA 01970 | 2007-06-07 |
| 1629062906 | The Mercy Hospital Inc | Psychiatric Unit | 1233 Main St, Holyoke, MA 01040 | 2005-09-01 |
| 1194250290 | Mclean Hospital | Psychiatric Unit | 30 Warren St, Brighton, MA 02135-3602 | 2017-04-26 |
| 1285171934 | Umass Memorial Healthalliance Clinton Hospital Inc | Psychiatric Unit | 201 Highland St, Clinton, MA 01510-1037 | 2017-01-19 |
| 1700216850 | Nashoba Valley Medical Center, A Steward Family Hospital, Inc. | Psychiatric Unit | 200 Groton Rd, Ayer, MA 01432-1168 | 2013-11-26 |
| 1225399785 | Brockton Multi Services | Psychiatric Unit | 165 Quincy St, Brockton, MA 02302-2988 | 2012-05-31 |
| 1720369036 | Quincy Medical Center, A Steward Family Hospital, Inc. | Psychiatric Unit | 114 Whitwell St, Quincy, MA 02169-1870 | 2011-08-31 |
| 1376822676 | Morton Hospital, A Steward Family Hospital, Inc. | Psychiatric Unit | 88 Washington St, Taunton, MA 02780-2465 | 2011-08-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.