BAY STATE COMMUNITY SERVICES (NPI# 1316217565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316217565 |
| Entity Type | Organization |
| Organization Name | BAY STATE COMMUNITY SERVICES |
| Practice Address |
13 Temple Street Quincy MA 02169-5110 |
| Mailing Address |
13 Temple St Quincy MA 02169-5110 |
| Practice Telephone | 6174718400 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | MS. ANTOINETTE MARTINS (CARE COORDINATOR) |
| Authorized Official Telephone | 6172332787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417284118 | Bay State Community Services | Community/Behavioral Health | 298 Bolton St, South Boston, MA 02127-1304 | 2009-11-17 |
| 1235448259 | Bay State Community Services | Counselor | 13 Temple St., Quincy, MA 02169 | 2010-09-27 |
| 1649502808 | Bay State Community Services | Community/Behavioral Health | 32 Common St, Walpole, MA 02081-2803 | 2010-02-12 |
| 1144422643 | Bay State Community Services | Case Management | 13 Temple St, Quincy, MA 02169-5110 | 2007-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BAY STATE COMMUNITY SERVICES, INC. | 1120 Hancock Street, Quincy, MA 02169-4313 |
| Massachusetts Corporations | BAY STATE COMMUNITY SERVICES, INC. | Unknown, Unknown, MA 00000 |
| Street Address |
13 TEMPLE STREET |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215154091 | Maria Filomena Melpignano | Social Worker | 13 Temple Street, Quincy, MA 02169 | 2007-04-20 |
| 1306198981 | Briana Poole | Social Worker | 13 Temple Street, Quincy, MA 02169 | 2012-10-08 |
| 1376763706 | Mary T. Papadonis | Counselor | 13 Temple Street, 2nd Floor, Quincy, MA 02169 | 2007-04-26 |
| 1831317270 | Adi Shakti Kaur Khalsa | Counselor | 13 Temple Street, Quincy, MA 02169 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518597905 | Forensic Insight Group | Community/Behavioral Health | 1354 Hancock St Ste 300, Quincy, MA 02169-5109 | 2020-01-24 |
| 1669988291 | South Shore Recovery Home | Community/Behavioral Health | 10 Dysart St, Quincy, MA 02169-6702 | 2017-12-19 |
| 1720507700 | Shannon Michelle Reilly | Community/Behavioral Health | 24 Hollis Ave Apt 2r, Quincy, MA 02171-2361 | 2017-09-12 |
| 1184082380 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 815 Elm St, Frederick Ball Public Housing, Quincy, IL 62301-2365 | 2016-02-02 |
| 1124499074 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 540 Harrison St, Quincy, IL 62301-7236 | 2015-10-16 |
| 1871969964 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 639 York St Rm 212, Quincy, IL 62301-3919 | 2015-08-12 |
| 1235559964 | Pyramid Builders Counseling Services, Inc | Community/Behavioral Health | 40 Willard St Ste 304, Quincy, MA 02169-1252 | 2014-04-21 |
| 1225461809 | Fathers' Uplift | Community/Behavioral Health | 145 Willard St Apt A3, Quincy, MA 02169-1533 | 2013-08-18 |
| 1255672192 | Disc Village, Inc. | Community/Behavioral Health | 305b W Crawford St, Quincy, FL 32351-3121 | 2013-03-01 |
| 1720203185 | Baystate Community Services | Community/Behavioral Health | 12 Temple St, Baystate Community Services, Quincy, MA 02169 | 2007-04-13 |
| Find all providers in QUINCY | ||||
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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.