BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.
NPI 1023284924
Psychiatric Unit in Plymouth, MA
About Beth Israel Deaconess Hospital Plymouth, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. (NPI 1023284924), doing business as Senior Behavioral Health Center, is a healthcare organization registered as a psychiatric unit in Plymouth, Massachusetts and active in the NPI registry since May 2008. The organization holds 4 active CLIA laboratory certificates and lists Sheilah Rangaviz, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beth Israel Deaconess Hospital Plymouth, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Beth Israel Deaconess Hospital Plymouth, Inc., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 22D0080133
Beth Israel Deaconess Hospital - Plymouth Inc · Plymouth, MACertificate of Waiver 22D1016703
Beth Israel Deaconess Plymouth · Plymouth, MACertificate of Waiver 22D0080126
Jordan Physician Associates Inc, Dba Beth Israel Deaconess Hospital Plymouth Gastroenterology · Plymouth, MACertificate of Waiver 22D0080157
Beth Israel Deaconess Hospital-Plymouth Access Program · Plymouth, MAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Beth Israel Deaconess Hospital Plymouth, Inc.'s NPI number?
The NPI number for Beth Israel Deaconess Hospital Plymouth, Inc. is 1023284924. It was assigned to this organization in the NPPES registry on May 1, 2008. The provider is doing business as Senior Behavioral Health Center.
Where is Beth Israel Deaconess Hospital Plymouth, Inc. located?
Beth Israel Deaconess Hospital Plymouth, Inc. is located at 275 Sandwich St, Plymouth, MA 02360. The listed phone number is (508) 746-2000.
What is Beth Israel Deaconess Hospital Plymouth, Inc.'s specialty?
The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.
Is Beth Israel Deaconess Hospital Plymouth, Inc. enrolled in Medicare?
Yes. Beth Israel Deaconess Hospital Plymouth, Inc. is registered in the Medicare PECOS enrollment system.
When is Beth Israel Deaconess Hospital Plymouth, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Massachusetts, Hospice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Beth Israel Deaconess Hospital Plymouth, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Beth Israel Deaconess Hospital Plymouth, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Beth Israel Deaconess Hospital Plymouth, Inc. hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Beth Israel Deaconess Hospital Plymouth, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield list Beth Israel Deaconess Hospital Plymouth, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Beth Israel Deaconess Hospital Plymouth, Inc. was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.