NPI Information

  • NPI: 1063716306
  • Provider Name: GOSNOLD, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 200 TER HEUN DR
    FALMOUTH, MA
    ZIP 02540
  • Phone: (508) 540-6550

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NPI Details

GOSNOLD, INC. is a substance abuse rehabilitation facility in Falmouth, MA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GOSNOLD, INC. NPI is 1063716306. The provider is registered as an organization entity type.

The provider's business location address is:

200 TER HEUN DR
FALMOUTH, MA
ZIP 02540-525
Phone: (508) 540-6550
Fax: (508) 540-7480

The provider's authorized official is Raymond V Tamasi .
The authorized official title is Ceo and has the following contact phone number (508) 540-6550.

The enumeration date for this NPI number is 12/30/2010 and was last updated on 12/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)4600MASSACHUSETTSNo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder0532MASSACHUSETTSNo
3320800000XCommunity Based Residential Treatment Facility, Mental Illness50.101.01MASSACHUSETTSNo
4324500000XSubstance Abuse Rehabilitation Facility0246MASSACHUSETTSNo
5324500000XSubstance Abuse Rehabilitation Facility0234MASSACHUSETTSNo
6324500000XSubstance Abuse Rehabilitation Facility0403MASSACHUSETTSNo
7324500000XSubstance Abuse Rehabilitation Facility0002MASSACHUSETTSNo
83245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children1475245MASSACHUSETTSNo
9324500000XSubstance Abuse Rehabilitation Facility0103MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Y62140MEDICARE PIN
21310518MEDICAIDMASSACHUSETTS
3P10156MEDICARE PINMASSACHUSETTS
41306723MEDICAIDMASSACHUSETTS
5Y10357MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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