COMMONWEALTH OF MASSACHUSETTS (NPI# 1144768045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144768045 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF MASSACHUSETTS |
| Other Organization Name | BROCKTON MULTISERVICE CENTER |
| Practice Address |
165 Quincy St Brockton MA 02302-2988 |
| Mailing Address |
165 Quincy St. Brockton MA 02301 |
| Practice Telephone | 5088972100 |
| Practice Fax Number | 5085865117 |
| Mailing Telephone | 5088972100 |
| Mailing Fax Number | 5085865117 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |
| Authorized Official Name | MERLEEN MILLS (DIRTECTOR OF EMERGENCY SERVICES) |
| Authorized Official Telephone | 5082859400 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | LN25249 | MA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Brockton Multiservice Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407973688 | Commonwealth of Massachusetts | Case Management | 180 Cabot St, Beverly, MA 01915-5847 | 2007-03-23 |
| 1386773273 | Commonwealth of Massachusetts | Case Management | 20 Academy St, Arlington, MA 02476-6401 | 2007-03-05 |
| 1205965258 | Commonwealth of Massachusetts | Case Management | 325 Chelmsford St, Lowell, MA 01851-4429 | 2007-03-05 |
| 1902240047 | Commonwealth of Massachusetts | Clinic/Center | 101 Academy Dr, Health Services, Buzzards Bay, MA 02532-3405 | 2013-04-19 |
| 1104943869 | Commonwealth of Massachusetts | Case Management | 27 Water St, Wakefield, MA 01880-3032 | 2007-03-26 |
| 1285751958 | Commonwealth of Massachusetts | Case Management | 85 E Newton St, Boston, MA 02118-2340 | 2007-03-26 |
| 1053438739 | Commonwealth of Massachusetts | Case Management | 85 E Newton St, Boston, MA 02118-2340 | 2007-03-26 |
| 1104943885 | Commonwealth of Massachusetts | Case Management | 25 Staniford St, Boston, MA 02114-2503 | 2007-03-26 |
| 1578680252 | Commonwealth of Massachusetts | Case Management | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2007-03-26 |
| 1679690770 | Commonwealth of Massachusetts | Case Management | 112 Market St, Lynn, MA 01901-1125 | 2007-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | COMMONWEALTH OF MASSACHUSETTS CONTRACTORS | 1915 Seven Arrow Dr, Colorado Springs, CO 80915 |
| Massachusetts Corporations | COMMONWEALTH OF MASSACHUSETTS HARBORMASTERS AND MARITIME PROFESSIONALS ASSOCIATION, INCORPORATED | 1639 Ocean Street, Marshfield, MA 02050 |
| System for Award Management (SAM) Entities | COMMONWEALTH OF MASSACHUSETTS MIDDLESEX DISTRICT ATTORNEY, THE | 15 Commonwealth Ave Ste 300, Woburn, MA 01801-5194 |
| Street Address |
165 QUINCY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326155458 | The Commonwealth of Massachusetts | Pharmacy | 165 Quincy St, Brockton, MA 02302-2988 | 2006-08-24 |
| 1902415813 | Sarah Coppenrath | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2020-07-27 |
| 1104307347 | Julia A Meehan | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2018-08-26 |
| 1043790629 | Holly Calamese-grazette | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2018-08-14 |
| 1427560796 | Wibie S Altidor | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-10-26 |
| 1598283459 | Janelle Weir | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-31 |
| 1699292839 | Justine Mcmahon | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-28 |
| 1932626504 | Alice Massery | Registered Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-24 |
| 1326565169 | Deann Paul | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-23 |
| 1255879425 | Melissa Cuthill | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639564214 | Northeast Behavioral Associates | Community Based Residential Treatment Facility, Mental Illness | 23 Dailey Rd, Brockton, MA 02302-2250 | 2015-04-01 |
| 1235620683 | Highppoint | Community Based Residential Treatment Facility, Mental Illness | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2018-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
| 1952784506 | Justice Resource Institute | Community Based Residential Treatment Facility, Mental Illness | 262 Crescent St, Waltham, MA 02453-3417 | 2015-07-01 |
| 1346641313 | Penikese Island School, Inc | Community Based Residential Treatment Facility, Mental Illness | 565 Woods Hole Rd, Woods Hole, MA 02543-1041 | 2014-09-10 |
| 1750780227 | Westbridge Inc | Community Based Residential Treatment Facility, Mental Illness | 275 Mystic Ave, Ste C, Medford, MA 02155-6301 | 2014-08-20 |
| 1780966606 | Walgreens | Community Based Residential Treatment Facility, Mental Illness | 113 Monument St, Medford, MA 02155-3538 | 2011-09-16 |
| 1851627988 | Hampden County Sherriff's Department | Community Based Residential Treatment Facility, Mental Illness | 701 Center St, Chicopee, MA 01013-1588 | 2009-10-24 |
| 1184958423 | Joseph D Reich | Community Based Residential Treatment Facility, Mental Illness | 475 State Rd, Plymouth, MA 02360-5185 | 2009-09-18 |
| 1922127349 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Westborough State Hospital Chauncy Hall, Lyman St Daniels 1, Westborough, MA 01581 | 2007-03-28 |
| 1568580736 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Brighton Irtp - Everett House, 232 Centre St, Dorchester Center, MA 02124-2334 | 2007-03-27 |
| 1083732168 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Boston University - Fuller Irtp, 85 E Newton St Fl 6, Boston, MA 02118-2340 | 2007-03-27 |
| 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.