NORTHEAST HOSPITAL CORPORATION (NPI# 1407827710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407827710 |
| Entity Type | Organization |
| Organization Name | NORTHEAST HOSPITAL CORPORATION |
| Other Organization Name | BEVERLY HOSPITAL |
| Practice Address |
85 Herrick Street Beverly MA 01915 |
| Mailing Address |
85 Herrick Street Medical Staff Office Beverly MA 01915 |
| Practice Telephone | 9789223000 |
| Practice Fax Number | 9789217048 |
| Mailing Telephone | 9789223000 |
| Mailing Fax Number | 9789217048 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | MR. DENIS S CONROY (CEO) |
| Authorized Official Telephone | 9789223000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| Y | 273R00000X | Psychiatric Unit | 15 | MA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | AETNA HMO PSYCH | 9343 | 01 |
| MA | HMO BLUE PSYCH OP | BEV2222003311 | 01 |
| MD | HMO BLUE PSYCH IP | BEV2222003301 | 01 |
| MA | NHP PSYCH | 0007079 | 01 |
| MA | TUFTS IP PSYCH | 901790 | 01 |
| MA | HARVARD PILGRIM PSYCH | 903159 | 01 |
| MD | CHAMPUS | S005394 | 01 |
| MA | 1000039 | 05 | |
| MA | 1202626 | 05 | |
| MA | TUFTS MCR HMO OUTPAT | 900082 | 01 |
| MA | BC HMO/PHO PSYCH IP | 2222003301 | 01 |
| MD | BC INDEM IP PSYCH | 2222003306 | 01 |
| MA | TUFTS OUTPAT PSYCH | 900082 | 01 |
| MA | BC OUTPAT INDEM PSYCH | 2222003325 | 01 |
| MA | 1898639 | 05 | |
| MA | BC HMO/PHO PSYCH OP | 2222003311 | 01 |
| MA | TUFTS MCR HMO INPAT | 901790 | 01 |
| Other Name | Type Code |
|---|---|
| Beverly Hospital | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396991709 | Northeast Hospital Corporation | Clinic/Center | 85 Herrick Street, Beverly, MA 01915 | 2008-08-18 |
| 1871755132 | Northeast Hospital Corporation | Internal Medicine | 85 Herrick Street, Medical Staff Office, Beverly, MA 01915 | 2008-06-27 |
| 1508052218 | Northeast Hospital Corporation | General Acute Care Hospital | 480 Maple St, Center for Healthy Aging, Danvers, MA 01923-4065 | 2007-09-18 |
| 1609085836 | Northeast Hospital Corporation | Emergency Medicine | 85 Herrick St, Medical Staff Office, Beverly, MA 01915-1790 | 2007-05-22 |
| 1164547063 | Northeast Hospital Corporation | Internal Medicine | 480 Maple St, Center for Healthy Aging, Danvers, MA 01923-4065 | 2007-03-20 |
| 1073658225 | Northeast Hospital Corporation | Clinic/Center | 600 Cummings Center, Suite 176x, Beverly, MA 01915 | 2007-02-21 |
| 1285776229 | Northeast Hospital Corporation | Psychiatric Hospital | 60 Granite St, Bayridge Hospital, Lynn, MA 01904-2915 | 2007-02-13 |
| 1043328685 | Northeast Hospital Corporation | Clinic/Center | 480 Maple St, Center for Healthy Aging, Danvers, MA 01923-4065 | 2006-08-25 |
| 1316917941 | Northeast Hospital Corporation | Psychiatric Unit | 85 Herrick St, Beverly Hospital, Beverly, MA 01915-1776 | 2006-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | NORTHEAST HOSPITAL CORPORATION | 85 Herrick Street, Beverly, MA 01915 |
| Street Address |
85 HERRICK STREET |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497741045 | James Chafey | Radiology | 85 Herrick Street, Radiology Department, Beverly, MA 01915-1790 | 2005-09-20 |
| 1275010977 | Brynn Thompson | Social Worker | 85 Herrick Street, Beverly Hospital, Beverly, MA 01915 | 2018-07-25 |
| 1407355878 | Rachelle Marcella Garcia | Advanced Practice Midwife | 85 Herrick Street, North Shore Birth Center, Beverly, MA 01915 | 2018-02-12 |
| 1558816249 | Paige Elizabeth Casperson | Physician Assistant | 85 Herrick Street, Beverly Hospital Emergency Department, Beverly, MA 01915 | 2016-08-23 |
| 1770964728 | Kimberly R Henriques | Registered Nurse | 85 Herrick Street, Beverly, MA 01915 | 2015-06-16 |
| 1760704233 | Robin C Downing | Registered Nurse | 85 Herrick Street, C/o Beverly Hospital, Beverly, MA 01915 | 2010-02-24 |
| 1679807226 | Northeast Hospital Corportation | Psychiatry & Neurology | 85 Herrick Street, Medical Staff Office, Beverly, MA 01915 | 2009-09-30 |
| 1821236019 | Beverly Hospital | General Acute Care Hospital | 85 Herrick Street, Beverly Hospital, Beverly, MA 01915-1777 | 2009-01-27 |
| 1396991709 | Northeast Hospital Corporation | Clinic/Center | 85 Herrick Street, Beverly, MA 01915 | 2008-08-18 |
| 1700032471 | Collins A. Tabiri | Internal Medicine | 85 Herrick Street, Beverly, MA 01915 | 2008-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316917941 | Northeast Hospital Corporation | Psychiatric Unit | 85 Herrick St, Beverly Hospital, Beverly, MA 01915-1776 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225261589 | Cambridge Health Alliance | Psychiatric Unit | 153 Leyden St Apt 2, East Boston, MA 02128-2617 | 2009-09-02 |
| 1467641126 | Boston Healthcare Va | Psychiatric Unit | 204 Bellingham Ave, Revere, MA 02151-4106 | 2007-10-18 |
| 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.