HABIT OPCO (NPI# 1154544880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154544880 |
| Entity Type | Organization |
| Organization Name | HABIT OPCO |
| Practice Address |
180 Centre Street Brockton MA 02301 |
| Practice Telephone | 5085866300 |
| Practice Fax Number | 5085801527 |
| Mailing Telephone | 5085866300 |
| Mailing Fax Number | 5085801527 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL EDWARD ALLEN (SA CLINICIAN) |
| Authorized Official Telephone | 5085866300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548652373 | Habit Opco | Community/Behavioral Health | 3088 Cranberry Hwy, East Wareham, MA 02538-4800 | 2015-03-03 |
| 1457786808 | Habit Opco | Counselor | 2257 Main St, Springfield, MA 01107-1905 | 2013-09-04 |
| 1396056347 | Habit Opco | Community/Behavioral Health | 3086 Cranberry Hwy, East Wareham, MA 02538-4801 | 2010-06-24 |
| 1396066817 | Habit Opco | Community/Behavioral Health | 155 Airport Rd, Fitchburg, MA 01420-8142 | 2010-06-18 |
| 1477797595 | Habit Opco | Clinic/Center | 57 New St, Irvington, NJ 07111-2444 | 2009-04-21 |
| 1992951685 | Habit Opco | Community/Behavioral Health | 99 Topeka St, Boston, MA 02118-2717 | 2008-08-13 |
| 1184818197 | Habit Opco | Community/Behavioral Health | 99 Topeka St, Boston, MA 02118-2717 | 2007-09-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HABIT OPCO, INC. | 6185 Paseo Del Norte Ste 150, Carlsbad, CA 92011-1155 |
| Massachusetts Corporations | HABIT OPCO, INC. | 830 Cresent Centre Drive, Suite 610, Franklin, TN 37067 |
| Vermont Business Registrations | HABIT OPCO, INC. | 6100 Tower Circle, Suite 1000, Franklin, TN 37067 |
| Vermont Business Registrations | HABIT OPCO-BRATTLEBORO | 16 Town Crier Drive, Brattleboro, VT 05304 |
| Street Address |
180 CENTRE STREET |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831317783 | Debra Ethel Smith | Counselor | 180 Centre Street, Brockton, MA 02302-2733 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1720540156 | Nicilda Dejesus | Counselor | 204 Chatham West Dr, Brockton, MA 02301-1314 | 2019-04-04 |
| 1285160838 | Maria Atherton Jr. | Counselor | 17 Snell St, Brockton, MA 02301-1644 | 2017-05-02 |
| 1467726398 | Carin Rhodes | Counselor | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2012-02-23 |
| 1073817573 | Daniel Mendes Depina | Counselor | 682 North Main Street, Apt. 308, Brockton, MA 02301-3626 | 2010-12-27 |
| 1063713402 | Judith R Chaskes | Counselor | 30 Meadowbrook Road, Brockton, MA 02301 | 2010-11-16 |
| 1093957185 | Jerome P Posey | Counselor | 1311 Main St, Brockton, MA 02301-7109 | 2009-04-03 |
| 1548441587 | Sylvester Pereira Fortes | Counselor | 20 Hope St, Brockton, MA 02302-3415 | 2007-11-19 |
| 1184817579 | George Hamilton Brickhouse Jr. | Counselor | 108 Centre Street, Brockton, MA 02302 | 2007-08-20 |
| 1720282130 | Kathleen Mary Mckenna | Counselor | 225 Liberty St, Brockton, MA 02301-5571 | 2007-06-12 |
| Find all providers in BROCKTON | ||||
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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.