| Cape Cod Healthcare Inc. | |
| 
					460 W Main St Hyannis MA 02601-3653  | |
| (508) 790-3360 | |
| (508) 790-3304 | 
| Full Name | Cape Cod Healthcare Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 460 W Main St, Hyannis, Massachusetts | 
| Authorized Official Name and Position | Bamby Forrest (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 5085235738 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cape Cod Healthcare Inc. 460 W Main St Hyannis MA 02601-3653 Ph: (508) 790-3360  | Cape Cod Healthcare Inc. 460 W Main St Hyannis MA 02601-3653 Ph: (508) 790-3360  | 
| NPI Number | 1245286152 | 
|---|---|
| Provider Enumeration Date | 05/25/2006 | 
| Last Update Date | 06/21/2023 | 
| Certification Date | 06/21/2023 | 
| Medicare PECOS PAC ID | 4183614209 | 
|---|---|
| Medicare Enrollment ID | O20040512001098 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245286152 | NPI | - | NPPES | 
| 1301691 | Medicaid | MA | |
| 4312 | Other | MA | DPH LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
| Provider Name | Joan H Warren | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1760422745 PECOS PAC ID: 8123056181 Enrollment ID: I20050801000273  | 
| Provider Name | Patrick J Gubbins | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1265596043 PECOS PAC ID: 9739107590 Enrollment ID: I20051110000024  | 
| Provider Name | Cassandra D Hobgood | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1407069669 PECOS PAC ID: 7911021233 Enrollment ID: I20100824000163  | 
| Provider Name | Ellen Ficks | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1316116668 PECOS PAC ID: 3072749175 Enrollment ID: I20131120000446  | 
| Provider Name | Paula Kirby-long | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1063566925 PECOS PAC ID: 5294822482 Enrollment ID: I20171004001066  | 
| Provider Name | Jennifer D Marlin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1376018663 PECOS PAC ID: 5294070074 Enrollment ID: I20181226000374  | 
| Provider Name | Susane A. Dickson | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1194804054 PECOS PAC ID: 4385796002 Enrollment ID: I20190417000656  | 
| Provider Name | Bamby Forrest | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124684063 PECOS PAC ID: 0446581540 Enrollment ID: I20191003001431  | 
| Provider Name | Ashley Tarr | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1174176374 PECOS PAC ID: 2567894637 Enrollment ID: I20191111001381  | 
| Provider Name | Shuang Li | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1326433863 PECOS PAC ID: 0547510612 Enrollment ID: I20200107000191  | 
| Provider Name | Christina Cutter | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1598235541 PECOS PAC ID: 9638599343 Enrollment ID: I20201019003137  | 
| Provider Name | Peter Claiborne Hansinger | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1972263655 PECOS PAC ID: 7618358078 Enrollment ID: I20220715001142  | 
| Provider Name | Nikki Eschmann Kirsch | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1336618099 PECOS PAC ID: 2769854678 Enrollment ID: I20230202000277  | 
| Provider Name | Fauz Miriam Blakely | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659021715 PECOS PAC ID: 2365814399 Enrollment ID: I20230220002637  | 
| Provider Name | Kendra L. Kobrin | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1639601487 PECOS PAC ID: 7517231558 Enrollment ID: I20230330000845  | 
| Provider Name | Rosalie Arcenal | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1326752064 PECOS PAC ID: 3476928540 Enrollment ID: I20230404001641  | 
| Provider Name | Nancy Pace | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1982375085 PECOS PAC ID: 1456705664 Enrollment ID: I20230921002384  | 
| Provider Name | Diane Cooper | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1497081509 PECOS PAC ID: 2567813033 Enrollment ID: I20240109002351  | 
| Provider Name | Meghan Patricia Rogers | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1013325026 PECOS PAC ID: 7810332236 Enrollment ID: I20240226001298  | 
| Provider Name | Christopher J Perry | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1982454898 PECOS PAC ID: 6406297589 Enrollment ID: I20240508000427  | 
| Provider Name | Jesse Tyler Lang | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1598168890 PECOS PAC ID: 2264963735 Enrollment ID: I20241008003027  | 
| Provider Name | Jessica Buckler | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1972099273 PECOS PAC ID: 0547785164 Enrollment ID: I20250416001615  | 
Cape Cod Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Park St, Hyannis, MA 02601 Phone: 508-771-1800  | |
Leek Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Lewis Bay Rd, Hyannis, MA 02601 Phone: 508-418-8242  | |
Living Independently Forever Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Lincoln Road Ext, Hyannis, MA 02601 Phone: 508-418-5666 Fax: 508-778-4919  | |
Dove Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Bearses Way, Hyannis, MA 02601 Phone: 508-280-5308  | |
Cape Cod Hospital Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Park St, Hyannis, MA 02601 Phone: 508-771-1800  | |
Bay Cove Human Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Main St, Hyannis, MA 02601 Phone: 617-371-3000  |