Taravista Behavioral Health - Medicare Mental Health Clinic in Devens, MA

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Taravista Behavioral Health is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Devens, Massachusetts. The current practice location for Taravista Behavioral Health is 85 Patton Rd, Devens, Massachusetts. For appointments, you can reach them via phone at (978) 615-5200. The mailing address for Taravista Behavioral Health is 85 Patton Rd, Devens, Massachusetts and phone number is () -.

Taravista Behavioral Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1811473267. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (978) 615-5200.

Contact Information

Taravista Behavioral Health
85 Patton Rd
Devens
MA 01434-4401
(978) 615-5200
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameTaravista Behavioral Health
SpecialityPsychiatry & Neurology
Location85 Patton Rd, Devens, Massachusetts
Authorized Official Name and PositionMichael P Krupa (CEO)
Authorized Official Contact9786155200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Taravista Behavioral Health
85 Patton Rd
Devens
MA 01434-4401

Ph: () -		Taravista Behavioral Health
85 Patton Rd
Devens
MA 01434-4401

Ph: (978) 615-5200

NPI Details:

NPI Number1811473267
Provider Enumeration Date07/18/2018
Last Update Date07/18/2018

Medicare PECOS Information:

Medicare PECOS PAC ID8123319498
Medicare Enrollment IDO20181004001566

Medical Identifiers

Medical identifiers for Taravista Behavioral Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811473267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Taravista Behavioral Health acts as a billing entity for following providers:
Provider NameTodd H Carranza
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1659313047
PECOS PAC ID: 0345219747
Enrollment ID: I20041001000641
Provider NameJoanna E Poluha Oneil
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235113481
PECOS PAC ID: 3072569847
Enrollment ID: I20050324000374
Provider NameDavid E Sorenson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740248210
PECOS PAC ID: 4082661210
Enrollment ID: I20050331000285
Provider NameNancy P. Patricia Lange
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1053301937
PECOS PAC ID: 6709822018
Enrollment ID: I20050707000860
Provider NameKenneth A Hetzler
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1083729966
PECOS PAC ID: 6103842778
Enrollment ID: I20051022000095
Provider NameFida Hassan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235246802
PECOS PAC ID: 1759351869
Enrollment ID: I20071029000562
Provider NameHung K Do
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013069962
PECOS PAC ID: 2860578846
Enrollment ID: I20080401000279
Provider NameNegar Beheshti
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1225295207
PECOS PAC ID: 1355400318
Enrollment ID: I20081105000325
Provider NameMarion V Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801126057
PECOS PAC ID: 6709915929
Enrollment ID: I20100527000057
Provider NameKathryn R Baldor
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1689742074
PECOS PAC ID: 4789849068
Enrollment ID: I20120712000188
Provider NameChitra Malur
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457493702
PECOS PAC ID: 5092723627
Enrollment ID: I20130124000039
Provider NameErin Rauscher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629271119
PECOS PAC ID: 5799729067
Enrollment ID: I20140430002451
Provider NameClara Kim
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1285831362
PECOS PAC ID: 4880816586
Enrollment ID: I20141113001036
Provider NameAdam C Lau
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1649415530
PECOS PAC ID: 0143408914
Enrollment ID: I20151119001762
Provider NamePauline Temu Eteng
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487026399
PECOS PAC ID: 3779880570
Enrollment ID: I20160322001724
Provider NameColin B. White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487012282
PECOS PAC ID: 7012297609
Enrollment ID: I20161219001116
Provider NameJennifer L Burzyk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407230493
PECOS PAC ID: 7315255452
Enrollment ID: I20171002000434
Provider NameOmar A Mazher
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1558755777
PECOS PAC ID: 1557676822
Enrollment ID: I20180103002463
Provider NameNicholas A Sousa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225542939
PECOS PAC ID: 6305106899
Enrollment ID: I20180131003078
Provider NameKristin Anna Mikkelsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225384951
PECOS PAC ID: 1658520762
Enrollment ID: I20190318000855
Provider NameAnnet M Kabuusu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972004182
PECOS PAC ID: 9638410103
Enrollment ID: I20190410000739
Provider NameSusan V Eagleson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366853251
PECOS PAC ID: 8729369244
Enrollment ID: I20190801000927
Provider NameIsha R. Jalnapurkar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235539149
PECOS PAC ID: 0840563888
Enrollment ID: I20190807002289
Provider NameValerie Rice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457800997
PECOS PAC ID: 0042575920
Enrollment ID: I20200318000177
Provider NameKerrie Moran
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1518514884
PECOS PAC ID: 2163850355
Enrollment ID: I20200323001298
Provider NameDavid C Freeman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1124480355
PECOS PAC ID: 2163713082
Enrollment ID: I20200526003089
Provider NameAgatha Cretzu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205322757
PECOS PAC ID: 5799017877
Enrollment ID: I20200609001052
Provider NameJean-merimee N Kouagheu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689208050
PECOS PAC ID: 3577982198
Enrollment ID: I20201001001074
Provider NameAlison Elizabeth Ballantyne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336693951
PECOS PAC ID: 6103245444
Enrollment ID: I20201006000862
Provider NameAllison W. Beckler
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265726558
PECOS PAC ID: 4183921984
Enrollment ID: I20201013000940
Provider NameAdemola Solomon Obele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134755028
PECOS PAC ID: 0345660775
Enrollment ID: I20201023000091
Provider NameKristen A Hickey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194851212
PECOS PAC ID: 0547672636
Enrollment ID: I20201214002975
Provider NameAbdonne Ngo Nyele Mbouadeu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184221046
PECOS PAC ID: 4284046160
Enrollment ID: I20201217001593
Provider NameKristen Cahill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003027574
PECOS PAC ID: 9335551167
Enrollment ID: I20201218001010
Provider NameEdwin Agbonavbare
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386007631
PECOS PAC ID: 5496168080
Enrollment ID: I20201228000824
Provider NameJean Daniel Mesquita Mello
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053763730
PECOS PAC ID: 0345671467
Enrollment ID: I20210128003164
Provider NameTena Chau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528669264
PECOS PAC ID: 9234544578
Enrollment ID: I20210218000230
Provider NameRoger John Martinkus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184251464
PECOS PAC ID: 0345659165
Enrollment ID: I20210507001350
Provider NameChloe Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356941140
PECOS PAC ID: 6608275136
Enrollment ID: I20210602003311
Provider NameKristina T Vassell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538786645
PECOS PAC ID: 8325444797
Enrollment ID: I20210909003354
Provider NameMonika Bonfiglio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124578232
PECOS PAC ID: 6901295021
Enrollment ID: I20211111000947
Provider NameMargarida Botelho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699443150
PECOS PAC ID: 4587054069
Enrollment ID: I20211124002268
Provider NameWilby M Siegler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205385630
PECOS PAC ID: 2163700550
Enrollment ID: I20220428002382
Provider NameAnna Lyn Picciano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417611161
PECOS PAC ID: 2860879145
Enrollment ID: I20220509000559
Provider NameJennifer Ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982333761
PECOS PAC ID: 1557745296
Enrollment ID: I20220830003380
Provider NameOmar A. Shah
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1285043778
PECOS PAC ID: 6103242011
Enrollment ID: I20230508001804
Provider NameJannet Li Harkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962010272
PECOS PAC ID: 9931511078
Enrollment ID: I20230626001050
Provider NameAlberta K Adu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528722451
PECOS PAC ID: 8628432192
Enrollment ID: I20230918000100
Provider NameHanane Taha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972068591
PECOS PAC ID: 3779936836
Enrollment ID: I20240125001859
Provider NameTherese Pelagie Bonok
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467149765
PECOS PAC ID: 5294188033
Enrollment ID: I20240129003139
Provider NameMacrina Chidarikire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154194538
PECOS PAC ID: 9133568504
Enrollment ID: I20240417004326
Provider NameStephanie D Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790460756
PECOS PAC ID: 6305286246
Enrollment ID: I20240425003012
Provider NameRobert Kalugo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730878273
PECOS PAC ID: 1355781006
Enrollment ID: I20240430000056
Provider NameSophia Khalifa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013794544
PECOS PAC ID: 2062852593
Enrollment ID: I20240501002865

Reviews and Comments

Psychiatry & Neurology in Devens, MA

Forge Health
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 84 Antietam Street, Devens, MA 01434
Phone: 888-224-7312    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.