MARTHA'S VINEYARD COMMUNITY SERVICES, INC.
NPI 1659387074
Clinic/Center - Mental Health (Including Community Mental Health Center) in Oak Bluffs, MA

Active since July 31, 2006
111 EDGARTOWN RD, OAK BLUFFS, MA 02557(508) 693-7900 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 28, 2019, Aug 20, 2019, Dec 16, 2015 (3 updates tracked since 2015).

About Martha's Vineyard Community Services, Inc. NPPES

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

MARTHA'S VINEYARD COMMUNITY SERVICES, INC. (NPI 1659387074) is a healthcare organization registered as a mental health (including community mental health center) in Oak Bluffs, Massachusetts and active in the NPI registry since July 2006. The organization lists Glenn J Stalgren, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1659387074
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMARTHA'S VINEYARD COMMUNITY SERVICES, INC.
Location Address111 EDGARTOWN RDOak Bluffs, MA 02557
Mailing Address111 Edgartown RdVineyard Haven, MA 02568-5699 · (508) 693-7900
Organization SubpartNo
Authorized OfficialGlenn J StalgrenBusiness Administrator · (508) 693-7900
Enumeration DateJuly 31, 2006
Last NPPES UpdateOctober 28, 20193 updates tracked since enumeration
NPI 1659387074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2331 (MA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2331 (MA)
111 EDGARTOWN RD, Oak Bluffs, MA 02557

Other Identifiers 3

OtherM18486MA · Bcbsma Provider #
Medicaid1310143MA
Medicaid1301543MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
111 EDGARTOWN RD
OAK BLUFFS, MA 02557
Counselor (Mental Health)
111 EDGARTOWN RD
OAK BLUFFS, MA 02557
Counselor
111 EDGARTOWN RD
OAK BLUFFS, MA 02557
Social Worker (Clinical)
111 EDGARTOWN RD
OAK BLUFFS, MA 02557
Psychiatry & Neurology (Psychiatry)
111 EDGARTOWN RD
OAK BLUFFS, MA 02557
Counselor (Mental Health)
111 EDGARTOWN RD
OAK BLUFFS, MA 02557
Registered Nurse (Psychiatric/Mental Health, Adult)
111 EDGARTOWN RD
OAK BLUFFS, MA 02557

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659387074, enumerated as an "organization" on July 31, 2006.

The provider is located at 111 EDGARTOWN RD OAK BLUFFS, MA 02557 and the phone number is (508) 693-7900.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to verify.