BAYRIDGE HOSPITAL
NPI 1144379934
Psychiatric Hospital in Lynn, MA
- Organization
- Psychiatric Hospital
- CLIA Number: 22D1054268
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-15-2028
About BAYRIDGE HOSPITAL
This page provides the complete NPI Profile along with additional information for Bayridge Hospital, a provider established in Lynn, Massachusetts operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1144379934 assigned on January 2007. The practitioner's primary taxonomy code is 283Q00000X with license number 113273 (MA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Susan Kathleen Benson Licsw (Outpatient Therapist)
- NPI
- 1144379934 Verify this NPI
- Provider Name
- BAYRIDGE HOSPITAL
- Entity Type
- Organization
- Location Address
- 60 GRANITE ST LYNN, MA 01904
- Location Phone
- (781) 599-9200
- Mailing Address
- 60 GRANITE ST LYNN, MA 01904
- Mailing Phone
- (781) 599-9200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-09-2007
- Last Update Date
- 11-10-2008
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Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatric Hospital
- Taxonomy Code
- 283Q00000X
- Type
- Hospitals
- License No.
- 113273
- License State
- MA
- Taxonomy Description
- An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D1054268
- Facility Type
- Hospital
- Certificate Effective Date
- May 16, 2026
- Certificate Expiration Date
- May 15, 2028
- Laboratory Director
- MARK A. GENDREAU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bayridge Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LYNN, MA 01904
LYNN, MA 01904
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144379934, enumerated as an "organization" on January 09, 2007.
The provider is located at 60 GRANITE ST LYNN, MA 01904 and the phone number is (781) 599-9200.
Psychiatric Hospital with taxonomy code 283Q00000X.