GOOD SAMARITAN MEDICAL CENTER PSYCHIATRIC UNIT
NPI 1164735957
Psychiatric Unit in Brockton, MA

NPI Status: Active since July 21, 2010

Contact Information

235 N PEARL ST
BROCKTON, MA
ZIP 02301
Phone: (508) 427-3000
Fax: (617) 562-7241

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  • Organization
  • Psychiatric Unit
  • CLIA Number: 22D1067341
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 04-16-2027

About GOOD SAMARITAN MEDICAL CENTER PSYCHIATRIC UNIT

This page provides the complete NPI Profile along with additional information for Good Samaritan Medical Center Psychiatric Unit, a provider established in Brockton, Massachusetts operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1164735957 assigned on July 2010. The practitioner's primary taxonomy code is 273R00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is Good Samaritan Medical Center Psychiatric Unit. The authorized official of this NPI record is James Renna (Chief Financial Officer)

NPI
1164735957
Provider Legal Name
STEWARD GOOD SAMARITAN MEDICAL CENTER, INC.
Other Organization Name
GOOD SAMARITAN MEDICAL CENTER PSYCHIATRIC UNIT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
235 N PEARL ST BROCKTON, MA 02301
Location Phone
(508) 427-3000
Location Fax
(617) 562-7241
Mailing Address
235 N PEARL ST BROCKTON, MA 02301
Mailing Phone
(508) 427-3000
Mailing Fax
(617) 562-7241
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-21-2010
Last Update Date
11-09-2011
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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 Unit

Taxonomy Code
273R00000X
Type
Hospital Units
Taxonomy Description
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES RENNA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(617) 419-4700

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110086667BMEDICAID (05)MA 
22S111MEDICARE OSCAR/CERTIFICATION (06) 

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
22D1067341
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
April 17, 2025
Certificate Expiration Date
April 16, 2027
Laboratory Director
YING WANG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Good Samaritan Medical Center Psychiatric Unit 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.

Reviews for GOOD SAMARITAN MEDICAL CENTER PSYCHIATRIC UNIT

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164735957, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 3 + 1 + 0 + 9 + 1 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1164735957.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
235 N PEARL ST
BROCKTON, MA 02301
Nurse Practitioner
235 N PEARL ST
BROCKTON, MA 02301
Psychiatry & Neurology (Psychiatry)
235 N PEARL ST, GOOD SAMARITAN HOSPITAL
BROCKTON, MA 02301
Pediatrics (Neonatal-Perinatal Medicine)
235 N PEARL ST
BROCKTON, MA 02301
Internal Medicine
235 N PEARL ST
BROCKTON, MA 02301
Internal Medicine (Cardiovascular Disease)
235 N PEARL ST
BROCKTON, MA 02301
Pathology (Anatomic Pathology & Clinical Pathology)
235 N PEARL ST, ATTN: PATHOLOGY DEPT
BROCKTON, MA 02301
Pathology (Anatomic Pathology & Clinical Pathology)
235 N PEARL ST, ATTN PATHOLOGY DEPT
BROCKTON, MA 02301
Pathology (Anatomic Pathology & Clinical Pathology)
235 N PEARL ST, ATTN PATHOLOGY DEPT
BROCKTON, MA 02301
Internal Medicine
235 N PEARL ST
BROCKTON, MA 02301
Nurse Practitioner
235 N PEARL ST
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Internal Medicine
235 N PEARL ST
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301
Radiology (Diagnostic Radiology)
235 N PEARL ST, RADIOLOGY DEPARTMENT
BROCKTON, MA 02301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164735957, enumerated as an "organization" on July 21, 2010.

The provider is located at 235 N PEARL ST BROCKTON, MA 02301 and the phone number is (508) 427-3000.

Psychiatric Unit with taxonomy code 273R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.