MERRIMACK CENTER BIRTP – NPI #1710004320
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

MERRIMACK CENTER BIRTP is a community based residential treatment facility located in TEWKSBURY, MA. NPPES has assigned the NPI number 1710004320 to MERRIMACK CENTER BIRTP on March 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MERRIMACK CENTER BIRTP” is a dba name, the actual legal business name for this organization is DEPARTMENT OF MENTAL HEALTH. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERRIMACK CENTER BIRTP below.

NPI Profile for
DEPARTMENT OF MENTAL HEALTH

NPI Number
1710004320
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEPARTMENT OF MENTAL HEALTH
Doing Business As (dba): MERRIMACK CENTER BIRTP
Primary location
TEWKSBURY STATE HOSP SPECIAL BLDG - MERRIMACK CTR BIRTP
365 EAST ST
TEWKSBURY, MA 01876
Phone: (978) 858-3776 Fax: (978) 858-3494
Mailing address
25 STANIFORD ST
BOSTON, MA 02114-2503
Phone: (617) 626-8040 Fax: (617) 626-8295
Organization Subpart
No
Authorized Official
PAUL SCOPA
ASST. DIRECTOR OF NON-INST REIMBURS
Phone: (617) 886-8089
Updated
Identifiers

Identifiers for MERRIMACK CENTER BIRTP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMA1199234
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.