SOUTH SHORE MENTAL HEALTH (NPI# 1114280286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114280286 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE MENTAL HEALTH |
| Practice Address |
16 Penniman Circle Stoughton MA 02072 |
| Mailing Address |
16 Penniman Cir Stoughton MA 02072-3564 |
| Practice Telephone | 7814086056 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Authorized Official Name | JONATHAN PRONE (FAMILY SUPPORT WORKER) |
| Authorized Official Telephone | 5085804691 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982159000 | South Shore Mental Health | Community/Behavioral Health | 17 Elm Pl, Whitman, MA 02382-2427 | 2016-08-18 |
| 1134207657 | South Shore Mental Health | Community/Behavioral Health | 8 Hancock Ct, Quincy, MA 02169-5210 | 2006-11-01 |
| 1851480891 | South Shore Mental Health | Public Health or Welfare | 4820 Swanns Mill Dr, Durham, NC 27704-1492 | 2006-10-11 |
| 1790820678 | South Shore Mental Health | Case Management | 8 Hancock Ct, Quincy, MA 02169-5210 | 2007-02-20 |
| 1881769024 | South Shore Mental Health | Community/Behavioral Health | 460 Quincy Ave, Quincy, MA 02169-8130 | 2006-11-22 |
| 1356412092 | South Shore Mental Health | Community/Behavioral Health | 12 Hancock Ct, Quincy, MA 02169 | 2006-11-13 |
| 1417051780 | South Shore Mental Health | Preferred Provider Organization | 500 Victory Rd, Quincy, MA 02171-3139 | 2006-09-08 |
| 1902818826 | South Shore Mental Health | Preferred Provider Organization | 310 Barnstable Rd, Hyannis, MA 02601-2902 | 2006-08-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH SHORE MENTAL HEALTH | 500 Victory Rd, Quincy, MA 02171-3139 |
| New York State Corporations | SOUTH SHORE MENTAL HEALTH COUNSELING SERVICES P.C. | 74 Beaver Dam Road, Islip, New York 11751 |
| Street Address |
16 PENNIMAN CIRCLE |
| City | STOUGHTON |
| State | MA |
| Zip Code | 02072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543077 | Rachael E. Wilcox-rolniak | Counselor | Renz Counseling 378 Page St, Suite 6, Stoughton, MA 02072 | 2019-01-31 |
| 1134601487 | Patricia Eichinger | Social Worker | Saint Anne's Gpu At New England Sinai Hospital, 150 York Street, Stoughton, MA 02072 | 2018-09-04 |
| 1649752080 | Anne Marguerite Shute | Social Worker | 171 Ash St., Stoughton, MA 02072 | 2018-09-02 |
| 1558849646 | Janet A. Wiederhold | Social Worker | 32 Conservation Way, Stooghton, MA 02072 | 2018-08-01 |
| 1497284624 | Tatiana T Rudd | Counselor | 11 Monk Street R1, Stoughton, MA 02072 | 2017-06-10 |
| 1447782461 | Childrens Dental Health Center PC | Dentist | 966c Park Street, Stoughton, MA 02072 | 2017-03-29 |
| 1962949925 | Regis College | Clinic/Center | 155 Wheeler Circle, Apt. 273, Stoughton, MA 02072 | 2017-01-27 |
| 1679020259 | Youssef Wahba | Pharmacist | 638 Washigton St, Stoughton, MA 02072 | 2016-09-01 |
| 1346601093 | Allstate Home Care,inc | Foster Care Agency | 5 Cabot Place., #1, Stoughton, MA 02072 | 2016-03-09 |
| 1386032167 | Tara L Traczyk | Registered Nurse | 907 Summer St. Suite M201, Guardian Anesthesia Inc, Stoughton, MA 02072 | 2015-01-02 |
| Find all providers in zip 02072 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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|---|---|---|---|---|
| 1205369014 | Clinical & Support Options | Exclusive Provider Organization | 15 Vadnais St, East Longmeadow, MA 01028-1934 | 2017-04-07 |
| 1912362716 | Janet Vodvarka | Exclusive Provider Organization | 27 Waltham Rd, Wayland, MA 01778-1312 | 2015-12-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1518395284 | Cadre Ideal LLC | Exclusive Provider Organization | 60-70 Milton Street, Dedham, MA 02026 | 2013-10-16 |
| 1134553860 | The Children's Study Home | Exclusive Provider Organization | 150 Linden St Apt 4l, Holyoke, MA 01040-3304 | 2013-08-29 |
| 1740527787 | Wicfol Human Services | Exclusive Provider Organization | 1785 South St, Bridgewater, MA 02324-3525 | 2013-01-10 |
| 1952658056 | Mass Kidz Healthy Smiles LLC | Exclusive Provider Organization | 126 Audubon Ave, Braintree, MA 02184-2352 | 2012-08-07 |
| 1689949232 | Caring Home Health Care, LLC | Exclusive Provider Organization | 58 Princeton Rd, Malden, MA 02148-1642 | 2012-03-15 |
| 1497052930 | Cleghorn Professional Counseling Center | Exclusive Provider Organization | 63 Fairmount St Rear, Fitchburg, MA 01420-7613 | 2011-02-18 |
| 1396071148 | Maga Herrera | Exclusive Provider Organization | 44 Hood St # 2, Fall River, MA 02720-2730 | 2009-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.