Provider Demographics
NPI:1891929451
Name:UNITED CEREBRAL PALSY ASSOCIATION OF BERKSHIRE COUNTY, INC.
Entity Type:Organization
Organization Name:UNITED CEREBRAL PALSY ASSOCIATION OF BERKSHIRE COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:413-442-1562
Mailing Address - Street 1:208 WEST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-5703
Mailing Address - Country:US
Mailing Address - Phone:413-442-1562
Mailing Address - Fax:413-499-4077
Practice Address - Street 1:208 WEST ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5703
Practice Address - Country:US
Practice Address - Phone:413-442-1562
Practice Address - Fax:413-499-4077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA252Y00000X, 332B00000X
253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No252Y00000XAgenciesEarly Intervention Provider Agency
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110082491BMedicaid
MA110082491AMedicaid
MA110082491CMedicaid