BETH ISRAEL DEACONESS MEDICAL CENTER


Address: 330 Brookline Ave, St-207, Boston, MA 02215-5400
Phone: 6176675080

BETH ISRAEL DEACONESS MEDICAL CENTER (NPI# 1447344437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447344437
Entity Type Organization
Organization Name BETH ISRAEL DEACONESS MEDICAL CENTER
Practice Address 330 Brookline Ave
St-207
Boston
MA 02215-5400
Practice Telephone 6176675080
Mailing Telephone 6176675080
Enumeration Date 2006-10-03
Last Update Date 2020-08-22
Authorized Official Name MR. STEVEN FISCHER (SVP/CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 6176675080
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit MA Hospital Units

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558726356 Beth Israel Deaconess Medical Center General Acute Care Hospital 330 Brookline Ave Shapiro 9, Beth Israel Deaconess Medical Center, Boston, MA 02215 2015-12-21
1225496094 Beth Israel Deaconess Medical Center General Acute Care Hospital 185 Pilgrim Rd, Boston, MA 02215-5324 2016-02-08
1710125117 Beth Israel Deaconess Medical Center General Acute Care Hospital 330 Brookline Ave, Boston, MA 02215-5400 2009-01-23
1003060955 Beth Israel Deaconess Medical Center Chronic Disease Hospital 330 Brookline Ave, Boston, MA 02215-5400 2008-11-05
1902063563 Beth Israel Deaconess Medical Center General Acute Care Hospital 400 Brookline Ave, Apartment 12d, Boston, MA 02215-5408 2008-05-21
1598922205 Beth Israel Deaconess Medical Center General Acute Care Hospital 1 Deaconess Rd, Dea 307d, Boston, MA 02215-5321 2008-05-20
1205900354 Beth Israel Deaconess Medical Center Clinic/Center 330 Brookline Ave, Healthcare Associates, Shapiro 6th Floor, Boston, MA 02215-5400 2006-11-20
1386739043 Beth Israel Deaconess Medical Center General Acute Care Hospital 110 Francis St, Suite 2g, Boston, MA 02215-5501 2006-10-04
1689607707 Beth Israel Deaconess Medical Center General Acute Care Hospital 110 Francis St, Suite 2g, Boston, MA 02215-5501 2006-07-09
1568493971 Beth Israel Deaconess Medical Center General Acute Care Hospital 330 Brookline Ave, Ren 8, Boston, MA 02215-5400 2006-07-05

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION, INC. 330 Brookline Ave., Boston, MA 02215
Massachusetts Corporations BETH ISRAEL DEACONESS MEDICAL CENTER, INC. 330 Brookline Avenue, Boston, MA 02105
Oklahoma Business Registrations BETH ISRAEL DEACONESS MEDICAL CENTER, INC. 330 Brookline Ave, Boston, MA 02215

Office Location

Street Address 330 BROOKLINE AVE
ST-207
City BOSTON
State MA
Zip Code 02215-5400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376541458 Carolyn Zelop Obstetrics & Gynecology 330 Brookline Ave, Ks 306, Boston, MA 02215-5400 2005-07-12
1134735848 Wassef Chanbour Ophthalmology 330 Brookline Ave, Boston, MA 02215-5400 2020-09-17
1174139976 Christopher Joseph Allen Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-09-17
1982218970 Carleen E Cox Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-09-07
1245842319 Emily Anne Keegan Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-08-20
1043822505 Ann Korkidakis Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Kirstein 3, Boston, MA 02215-5400 2020-08-17
1023628468 Bryar Hasenjaeger Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-07-31
1023627262 Vikram Karnik Psychiatry & Neurology 330 Brookline Ave, Boston, MA 02215-5400 2020-07-23
1386252682 Nancy Littlehale Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-07-22
1356968598 Jessica Catherine Okrant Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-07-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336746775 Lee T Gernon-lakin Physician Assistant 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 2020-10-08
1821695933 Matthew John Needham Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 2020-10-02
1114533866 Cdg Back Bay LLC Clinic/Center 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 2020-09-18
1619595105 Natasha Larocque Radiology 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 2020-07-10
1538783089 Yutsz Cherng Counselor 870r Commonwealth Avenue, Boston, MA 02215 2020-06-01
1306495924 Anthony Rosellini Psychologist 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
1427605278 Liana Zucco Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 2019-08-26
1831759430 Brian William Hayes Radiology 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 2019-06-17
1396304358 Elizabeth Hai Yen Du Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 2019-06-12
1922665439 Corey Shaphard Miller Student in an Organized Health Care Education/Training Program 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 2019-05-21
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992018782 Steward St. Elizabeth's Medical Center of Boston, Inc. Psychiatric Unit 736 Cambridge St, Boston, MA 02135-2907 2010-07-21
1609011832 Boston Emergency Services Crisis Stabilization Unit Psychiatric Unit 85 E Newton St, M802, Boston, MA 02118-2340 2008-12-02
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
1033121025 Brigham and Women's Faulkner Hospital, Inc. Psychiatric Unit 1153 Centre St, Boston, MA 02130-3446 2006-08-12
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

Providers in the same taxonomy and state

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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Competitor

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City BOSTON
Zip Code 02215

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Dataset Information

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.

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