OrganizationActive
Department of Mental Health
NPI 1710004320 · Mental Illness Community Based Residential Treatment Facility · Tewksbury, MA
Provider details
- NPI number
- 1710004320
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Paul Scopa, Asst. Director of Non-Inst Reimburs(617) 886-8089
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp
365 East St
Tewksbury, MA 01876
Phone: (978) 858-3776
Fax: (978) 858-3494
Approximate (ZIP-level) locationGet directions
Mailing address
25 Staniford St
Boston, MA 02114-2503
Other names (DBA / former)
- Doing business as
- Merrimack Center Birtp
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.