GOSNOLD INC. NPI 1639219314

NPI Information

  • NPI: 1639219314
  • Provider Name: GOSNOLD, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Organization
  • CLIA Number: 22D2152019
  • 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 treatment and children substance abuse rehabilitation facility in Falmouth, MA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. GOSNOLD, INC. NPI is 1639219314. 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 Chief Executive Officer and has the following contact phone number (508) 540-6550.

The CLIA number assigned to this NPI record is 22D2152019 - other - behavioral health residen with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 9/11/2025.

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
1324500000XSubstance Abuse Rehabilitation Facility0103MASSACHUSETTSNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)4600MASSACHUSETTSNo
3261QR0405XClinic/CenterRehabilitation, Substance Use Disorder0532MASSACHUSETTSNo
4324500000XSubstance Abuse Rehabilitation Facility0246MASSACHUSETTSNo
5324500000XSubstance Abuse Rehabilitation Facility0234MASSACHUSETTSNo
6324500000XSubstance Abuse Rehabilitation Facility0403MASSACHUSETTSNo
7320800000XCommunity Based Residential Treatment Facility, Mental Illness50.101.01MASSACHUSETTSNo
8324500000XSubstance Abuse Rehabilitation Facility0002MASSACHUSETTSNo
93245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children1475245MASSACHUSETTSYes

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
11310518MEDICAIDMASSACHUSETTS
21306723MEDICAIDMASSACHUSETTS

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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