| Martha's Vineyard Community Services, Inc. | |
| 
					111 Edgartown Rd Oak Bluffs MA 02557  | |
| (508) 693-7900 | |
| Not Available | 
| Full Name | Martha's Vineyard Community Services, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 111 Edgartown Rd, Oak Bluffs, Massachusetts | 
| Authorized Official Name and Position | Glenn J Stalgren (BUSINESS ADMINISTRATOR) | 
| Authorized Official Contact | 5086937900 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Martha's Vineyard Community Services, Inc. 111 Edgartown Rd Vineyard Haven MA 02568-5699 Ph: (508) 693-7900  | Martha's Vineyard Community Services, Inc. 111 Edgartown Rd Oak Bluffs MA 02557 Ph: (508) 693-7900  | 
| NPI Number | 1659387074 | 
|---|---|
| Provider Enumeration Date | 07/31/2006 | 
| Last Update Date | 10/28/2019 | 
| Medicare PECOS PAC ID | 4385552496 | 
|---|---|
| Medicare Enrollment ID | O20041214000373 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659387074 | NPI | - | NPPES | 
| 1310143 | Medicaid | MA | |
| M18486 | Other | MA | BCBSMA PROVIDER # | 
| 1301543 | Medicaid | MA | 
| Provider Name | Charles H Silberstein | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1548311228 PECOS PAC ID: 2961468731 Enrollment ID: I20041203000076  | 
| Provider Name | Cynthia Susan Carter | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1871695072 PECOS PAC ID: 8123070463 Enrollment ID: I20050215000962  | 
| Provider Name | John S Turton | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1841324365 PECOS PAC ID: 4385745306 Enrollment ID: I20070720000509  | 
| Provider Name | Dominic J Maxwell | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1134178106 PECOS PAC ID: 9931180833 Enrollment ID: I20090930000254  | 
| Provider Name | Maria K Grotz | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972634806 PECOS PAC ID: 6204995699 Enrollment ID: I20120801000181  | 
| Provider Name | Janet Ann Constantino | 
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) | 
| Provider Identifiers | NPI Number: 1912006867 PECOS PAC ID: 2567682123 Enrollment ID: I20141002000101  | 
| Provider Name | Gail Gordon | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1700077690 PECOS PAC ID: 6709189848 Enrollment ID: I20160122000797  | 
| Provider Name | Ralle Rae Greenberg | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1154818409 PECOS PAC ID: 4789925348 Enrollment ID: I20190408002398  | 
| Provider Name | Jennifer L Hawken | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1972984581 PECOS PAC ID: 5890091227 Enrollment ID: I20190411001534  | 
| Provider Name | Aleksandra S Phillips | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1316018450 PECOS PAC ID: 7012969439 Enrollment ID: I20190515001611  | 
| Provider Name | Abigail Foley | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1750781977 PECOS PAC ID: 6800217928 Enrollment ID: I20200528000628  | 
| Provider Name | Paul G Cotton | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1477560811 PECOS PAC ID: 9436167921 Enrollment ID: I20210405001375  | 
| Provider Name | Eric T Johnson | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1487011433 PECOS PAC ID: 5193134971 Enrollment ID: I20210506002700  | 
| Provider Name | Mary Elizabeth Karlan | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1871976431 PECOS PAC ID: 8224311071 Enrollment ID: I20210603002168  | 
| Provider Name | Alberta K Adu | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1528722451 PECOS PAC ID: 8628432192 Enrollment ID: I20230918000100  | 
| Provider Name | Kemper R Schumacher | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1093242273 PECOS PAC ID: 4587013891 Enrollment ID: I20231212003152  | 
| Provider Name | Kathleen Mary Burnspower | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1467566653 PECOS PAC ID: 0840635611 Enrollment ID: I20240302000242  | 
| Provider Name | Luiza Alencar Mouzinho | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1144657511 PECOS PAC ID: 9739526401 Enrollment ID: I20240318003171  | 
| Provider Name | Virginia Sherwood | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1366678609 PECOS PAC ID: 2860839412 Enrollment ID: I20240319002325  | 
| Provider Name | Thomas S Bennett | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1376743187 PECOS PAC ID: 2961840517 Enrollment ID: I20240402003186  | 
| Provider Name | Katherine Federowicz Perez | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1780109702 PECOS PAC ID: 7618315813 Enrollment ID: I20240408001577  | 
| Provider Name | Mary Louise Purves | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1225541881 PECOS PAC ID: 8123466240 Enrollment ID: I20240409000435  | 
| Provider Name | Valerie M Smith | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1265139349 PECOS PAC ID: 5092153098 Enrollment ID: I20240424000780  | 
| Provider Name | Susan M Warren | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1780282335 PECOS PAC ID: 2769822329 Enrollment ID: I20240430000622  |