BAY STATE MEDICAL ASSOCIATES, PC (NPI# 1255749289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255749289 |
| Entity Type | Organization |
| Organization Name | BAY STATE MEDICAL ASSOCIATES, PC |
| Practice Address |
1717 Main St Brockton MA 02301-7134 |
| Practice Telephone | 5088571466 |
| Practice Fax Number | 5088571725 |
| Mailing Telephone | 5088571466 |
| Mailing Fax Number | 5088571725 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Authorized Official Name | MR. ARNAK KHACHATRYAN (ADMINISTRATIVE MANAGER) |
| Authorized Official Telephone | 5088571466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144460478 | Bay State Medical Associates, PC | Clinic/Center | 425 Boylston St, Suite 310, Boston, MA 02116-3315 | 2009-02-26 |
| Street Address |
1717 MAIN ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386923720 | Bay State Counseling Services, Inc. | Clinic/Center | 1717 Main St, R, Brockton, MA 02301-7134 | 2011-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992894935 | Mona K Samaan | Psychiatry & Neurology | 940 Belmont St, Brockton, MA 02301-5596 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1881015337 | Norton Health Care PC | Psychiatry & Neurology | 85 E Main St Ste A, Norton, MA 02766-2307 | 2014-01-01 |
| 1104185586 | Adam Bied | Psychiatry & Neurology | 339 Massachusetts Ave, Arlington, MA 02474-6718 | 2012-05-07 |
| 1598809287 | Nestore J D'angelo | Psychiatry & Neurology | 18 Woodholm Rd, Manchester, MA 01944-1042 | 2007-02-16 |
| 1245392513 | Roger N Chabra | Psychiatry & Neurology | 284 Starboard Ln, Osterville, MA 02655-1451 | 2006-12-14 |
| 1487754974 | Amjad Bahnassi | Psychiatry & Neurology | 435 Shrewsbury St Ste 1, Worcester, MA 01604-1691 | 2006-09-24 |
| 1205934924 | Boston Psychiatry Group, Inc. | Psychiatry & Neurology | 20 Hope Ave Ste G05, Waltham, MA 02453-2781 | 2006-09-20 |
| 1265446157 | Elliott Gerald Segal | Psychiatry & Neurology | 126b Sewall Ave, Brookline, MA 02446-5327 | 2006-07-28 |
| 1043239270 | Alan Fisch | Psychiatry & Neurology | 872 Massachusetts Ave., Ste. 2-2, 2-7, Cambridge, MA 02139 | 2006-07-19 |
| 1093789083 | Michael Joshua Ostacher | Psychiatry & Neurology | 50 Staniford St Ste 580, Massachusetts General Hospital, Boston, MA 02114-2540 | 2006-02-15 |
| Find all providers with the same taxonomy | ||||
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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.