ANNA JAQUES HOSPITAL (NPI# 1619061769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619061769 |
| Entity Type | Organization |
| Organization Name | ANNA JAQUES HOSPITAL |
| Practice Address |
25 Highland Ave Newburyport MA 01950-3867 |
| Practice Telephone | 9784631000 |
| Practice Fax Number | 9788348108 |
| Mailing Telephone | 9784631000 |
| Mailing Fax Number | 9788348108 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DELIA OCONNOR (PRESIDENT & CFO) |
| Authorized Official Telephone | 9784631010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 30 | MA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1200119 | 05 | |
| MA | 1000357 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184718223 | Anna Jaques Hospital | Skilled Nursing Facility | 25 Highland Ave, Newburyport, MA 01950-3867 | 2006-10-03 |
| 1992779482 | Anna Jaques Hospital | Psychiatric Unit | 25 Highland Ave, Newburyport, MA 01950-3867 | 2006-02-14 |
| Street Address |
25 HIGHLAND AVE |
| City | NEWBURYPORT |
| State | MA |
| Zip Code | 01950-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839784 | Gail B Fayre | Family Medicine | 25 Highland Ave, Newburyport, MA 01950-3867 | 2005-05-27 |
| 1376177980 | Northeast Cardiology and Cardiac Electrophysiology, LLC | Internal Medicine | 25 Highland Ave, Newburyport, MA 01950-3867 | 2020-02-24 |
| 1194355578 | John Thagard | Nurse Practitioner | 25 Highland Ave, Newburyport, MA 01950-3867 | 2020-01-24 |
| 1982240586 | Angela Faro | Nurse Practitioner | 25 Highland Ave, Newburyport, MA 01950-3894 | 2019-11-19 |
| 1831661172 | Laura Rossi | Nurse Practitioner | 25 Highland Ave, Newburyport, MA 01950-3867 | 2018-12-27 |
| 1497227219 | Eileen Maureen Pekarski | Social Worker | 25 Highland Ave, Newburyport, MA 01950-3894 | 2018-12-18 |
| 1205363314 | Daniel Nicholas Tribastone | Registered Nurse | 25 Highland Ave, Newburyport, MA 01950-3867 | 2017-05-19 |
| 1548709462 | Anna Jaques Bidco Inpatient Specialists Pllc | Internal Medicine | 25 Highland Ave, Newburyport, MA 01950-3867 | 2017-02-13 |
| 1225573611 | Anna Jaques Inpatient Specialists Pllc | Internal Medicine | 25 Highland Ave, Newburyport, MA 01950-3867 | 2016-12-21 |
| 1679923775 | Jenya Appleton | Nurse Practitioner | 25 Highland Ave, Newburyport, MA 01950-3867 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954212 | Kirsten Ross | Registered Nurse | Anna Jaques Hospital, 25 Highland Ave, Newburyport, MA 01950 | 2020-02-18 |
| 1649752098 | William Edward Taylor | Social Worker | 25 Bromfield Street Side B, Newburyport, MA 01950 | 2018-09-02 |
| 1982113486 | Rachel Harris | Physical Therapy Assistant | 20 Beacon Ave, Unit 6, Newburyport, MA 01950 | 2017-09-27 |
| 1366998163 | Charles A. Nickou, D.m.d LLC | Dentist | 16 Harris Street, Newburyport, MA 01950 | 2016-08-31 |
| 1972954451 | Kathryn Jane Giguere | Nurse Practitioner | 7 Graf Road, Newburyport, MA 01950 | 2016-06-27 |
| 1487023230 | Christine Burgess | Social Worker | 180 Lowe Street, County Center for Health Rehabilitation, Newburyport, MA 01950 | 2015-09-23 |
| 1356746333 | Kelly Crotty | Occupational Therapist | 26 Washington St, Newburyport, MA 01950 | 2014-11-03 |
| 1225444961 | Christine Scotto | Licensed Practical Nurse | 41 Maple Lane, Monroe, NY 01950 | 2014-07-02 |
| 1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
| 1205189081 | Darryl Lemus | Counselor | 11 Market Squre Suite 6, Newburyport, MA 01950 | 2012-10-18 |
| Find all providers in zip 01950 | ||||
| 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 |
|---|---|---|---|---|
| 1992779482 | Anna Jaques Hospital | Psychiatric Unit | 25 Highland Ave, Newburyport, MA 01950-3867 | 2006-02-14 |
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|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NEWBURYPORT |
| Zip Code | 01950 |
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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.