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MARTHA'SVINYARD COMMUNITY SERVICES
NPI 1508243247
Clinic/Center - Mental Health (Including Community Mental Health Center) in Vineyard Haven, MA

Active since May 01, 2015CLIA 22D2287975 · Waiver
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568(508) 693-7900 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martha'svinyard Community Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA'SVINYARD COMMUNITY SERVICES (NPI 1508243247) is a healthcare organization registered as a mental health (including community mental health center) in Vineyard Haven, Massachusetts and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Kathleen M Kretschmann, Integrated Care Manager, as its authorized official.

NPPES Registry Identity

NPI1508243247
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMARTHA'SVINYARD COMMUNITY SERVICES
Location Address111 EDGARTOWN RDVineyard Haven, MA 02568-5699
Mailing Address111 Edgartown RdVineyard Haven, MA 02568-5699 · (508) 693-7900 · Fax (508) 696-0401
Phone(508) 693-7900
Organization SubpartNo
Authorized OfficialKathleen M KretschmannIntegrated Care Manager · (508) 693-7900
Enumeration DateMay 1, 2015
✔ NPI 1508243247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in MA · 127434
111 EDGARTOWN RD, Vineyard Haven, MA 02568
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CLIA Laboratory Certificates CMS CLIA

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 Waiver 22D2287975

Martha's Vineyard Community Services · Vineyard Haven, MA
Active · expires Aug 17, 2027
CLIA Number22D2287975
Laboratory TypeOutpatient Behavioral Hea
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorCharles Silberstein
Laboratory Phone(508) 693-7900
Laboratory LocationMartha's Vineyard Community Services111 Edgartown Rd, Vineyard Haven, MA 02568
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIGAIL LEIGHTON
Counselor (Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
KELLY MERRILL MCCARRON
Counselor (Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
CLEO WINSRYG-WILD MA
Counselor
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
BETH MULLER APRN
Nurse Practitioner (Psychiatric/Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
CECILIA BRENNAN
Counselor (Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
MISS LUIZA ALENCAR MOUZINHO
Counselor
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
RALLE RAE GREENBERG LICSW
Social Worker (Clinical)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900
JAIME SCHWAB
Counselor
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Dukes County (508) 693-7900

Frequently 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 Martha'svinyard Community Services's NPI number?

The NPI number for Martha'svinyard Community Services is 1508243247. It was assigned to this organization in the NPPES registry on May 1, 2015.

Where is Martha'svinyard Community Services located?

Martha'svinyard Community Services is located at 111 Edgartown Rd, Vineyard Haven, MA 02568. The listed phone number is (508) 693-7900.

What is Martha'svinyard Community Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Martha'svinyard Community Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2287975) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Martha'svinyard Community Services was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.