| Sstar | |
|
386 Stanley St Fall River MA 02720-6009 | |
| (508) 679-5222 | |
| (508) 673-3182 |
| Full Name | Sstar |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 386 Stanley St, Fall River, Massachusetts |
| Authorized Official Name and Position | Sherry A Ellis (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5082353500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sstar 386 Stanley St Fall River MA 02720-6009 Ph: (508) 679-5222 | Sstar 386 Stanley St Fall River MA 02720-6009 Ph: (508) 679-5222 |
| NPI Number | 1689693343 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 12/16/2023 |
| Certification Date | 12/16/2023 |
| Medicare PECOS PAC ID | 0244129542 |
|---|---|
| Medicare Enrollment ID | O20040315000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689693343 | NPI | - | NPPES |
| 1306685 | Other | MA | MBHP O/P M/H |
| 1306685 | Medicaid | MA | |
| FAL2225000701 | Other | MA | BCBS I/P |
| 295763 | Other | MA | MAGELLAN |
| A005312/008588 | Other | MA | VALUE OPTIONS |
| 1002950 | Other | MA | BEACON |
| 725921 | Other | MA | TUFTS |
| FAL2225000710 | Other | MA | BCBS O/P |
| 1306391 | Other | MA | MBHP I/P |
| 000000008464 | Other | MA | BMC |
| STA2223014140 | Other | MA | BCBS M/H |
| Provider Name | Genie Lark Bailey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598852576 PECOS PAC ID: 9234106139 Enrollment ID: I20040910001038 |
| Provider Name | Jesus Sosa |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1508850975 PECOS PAC ID: 0446298517 Enrollment ID: I20050419001342 |
| Provider Name | Joan M Barrett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699770594 PECOS PAC ID: 7012951858 Enrollment ID: I20050614000039 |
| Provider Name | Margaret W Carr |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1831298124 PECOS PAC ID: 4284666363 Enrollment ID: I20050909000362 |
| Provider Name | George H Maxted |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245228436 PECOS PAC ID: 8729012703 Enrollment ID: I20070511000424 |
| Provider Name | Karen T Tashima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396740551 PECOS PAC ID: 2264416320 Enrollment ID: I20111115000801 |
| Provider Name | Pamela A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093979411 PECOS PAC ID: 4789843152 Enrollment ID: I20120306000080 |
| Provider Name | Phyllis M Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992136543 PECOS PAC ID: 8820220841 Enrollment ID: I20140407000038 |
| Provider Name | David Paull Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487698833 PECOS PAC ID: 2567548654 Enrollment ID: I20140430002153 |
| Provider Name | Mary E Canha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821339623 PECOS PAC ID: 0749566610 Enrollment ID: I20170406002371 |
| Provider Name | Autumn Nicole Froias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891134235 PECOS PAC ID: 0345519104 Enrollment ID: I20170711000267 |
| Provider Name | Donald Rice |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104189653 PECOS PAC ID: 8022327790 Enrollment ID: I20171220001376 |
| Provider Name | Matthew P Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003388323 PECOS PAC ID: 6608114988 Enrollment ID: I20190212001198 |
| Provider Name | Beth K Lecomte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922200104 PECOS PAC ID: 9739451568 Enrollment ID: I20190218002110 |
| Provider Name | Hannah Jane Girard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619475019 PECOS PAC ID: 6901239581 Enrollment ID: I20191212002052 |
| Provider Name | Jakob B Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215571864 PECOS PAC ID: 6901231026 Enrollment ID: I20200120000815 |
| Provider Name | Katherine E Serra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003324849 PECOS PAC ID: 4385064377 Enrollment ID: I20201013001479 |
| Provider Name | Enoch Anyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730799040 PECOS PAC ID: 7315351020 Enrollment ID: I20210120002192 |
| Provider Name | Dillen J Bosgra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669966115 PECOS PAC ID: 8224432612 Enrollment ID: I20210806001872 |
| Provider Name | Theresa Emily Kosch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184398943 PECOS PAC ID: 7618364399 Enrollment ID: I20220427002044 |
| Provider Name | Alexandra Paull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578019568 PECOS PAC ID: 6204213564 Enrollment ID: I20220507000026 |
| Provider Name | Rachel Ann Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568195170 PECOS PAC ID: 5799160578 Enrollment ID: I20220914002517 |
| Provider Name | Kennia Dely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194498378 PECOS PAC ID: 3173981503 Enrollment ID: I20230616001850 |
| Provider Name | Dolores Tavares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346497054 PECOS PAC ID: 2769600592 Enrollment ID: I20230616002480 |
| Provider Name | Joyce A Onyango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871194316 PECOS PAC ID: 5597067942 Enrollment ID: I20230720000246 |
| Provider Name | Sarah Meyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275950164 PECOS PAC ID: 0244538544 Enrollment ID: I20230724000909 |
| Provider Name | Alison K Mota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629724299 PECOS PAC ID: 7113380270 Enrollment ID: I20230823001299 |
| Provider Name | Katherine Crossley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861741068 PECOS PAC ID: 4587015631 Enrollment ID: I20240112002358 |
| Provider Name | Rebecca Dejesus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851050538 PECOS PAC ID: 5799136842 Enrollment ID: I20240112002532 |
| Provider Name | Debra Lezama |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841604279 PECOS PAC ID: 9133571227 Enrollment ID: I20240112004077 |
| Provider Name | Alina E Ciman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194173674 PECOS PAC ID: 5698127611 Enrollment ID: I20240116001056 |
| Provider Name | Jennifer M Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396313649 PECOS PAC ID: 2062864002 Enrollment ID: I20240116001735 |
Neurohealth Consulting Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1822 N Main St Ste 6, Fall River, MA 02720 Phone: 401-924-1906 Fax: 508-466-6522 | |
River To Recovery, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1507 Pleasant St, Fall River, MA 02723 Phone: 774-704-5501 | |
Phoenix Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Jeremiah Sullivan Dr, Fall River, MA 02721 Phone: 774-644-5629 Fax: 508-678-8100 | |
Fitzgerald Counseling Group Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 21 Father Devalles Blvd Ste 15, Fall River, MA 02723 Phone: 978-408-6446 | |
C & C Psychiatry Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10 Purchase St Ste 301, Fall River, MA 02720 Phone: 774-644-2254 | |
Family Serivce Association Of Fall River Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Rock St, Fall River, MA 02720 Phone: 508-678-7542 | |
Paul Chouinard Lmhc Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Purchase St, Fall River, MA 02720 Phone: 508-496-2428 |