=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639218308
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMMUNITY HEALTH PROGRAMS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 54 CASTLE ST
-----------------------------------------------------
City | GREAT BARRINGTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01230-1502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-528-9311
-----------------------------------------------------
Fax | 413-528-2863
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 54 CASTLE ST
-----------------------------------------------------
City | GREAT BARRINGTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01230-1502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-528-9311
-----------------------------------------------------
Fax | 413-528-2863
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | DEBORAH A HALL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 413-528-9311
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133N00000X
-----------------------------------------------------
Taxonomy Name | Nutritionist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------