SOUTH BAY MENTAL HEALTH (NPI# 1174931851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174931851 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH |
| Practice Address |
140 High St Springfield MA 01105-1442 |
| Practice Telephone | 4134951500 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |
| Authorized Official Name | AMANDA SMITH (MENTAL HEALTH CLINICIAN) |
| Authorized Official Telephone | 5185887129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649637166 | South Bay Mental Health | Community/Behavioral Health | 32 Park St Fl 3, Adams, MA 01220-2085 | 2016-01-28 |
| 1710350913 | South Bay Mental Health | Counselor | 670 Route 6a, East Sandwich, MA 02537-1436 | 2015-11-10 |
| 1114309234 | South Bay Mental Health | Community/Behavioral Health | 38 Atwood Avenue, Middleboro, MA 02346 | 2015-06-25 |
| 1245634831 | South Bay Mental Health | Case Management | 62 Evergreen St, Kingston, MA 02364-1426 | 2014-10-10 |
| 1659786333 | South Bay Mental Health | Case Management | 2045 Commonwealth Ave, Apt #4, Brighton, MA 02135-5174 | 2014-06-21 |
| 1912324369 | South Bay Mental Health | Community/Behavioral Health | 49a Farrar Ave, Apt Il, Worcester, MA 01604-3272 | 2014-03-24 |
| 1558706598 | South Bay Mental Health | Clinic/Center | 80 Old Stone Way Apt 309, East Weymouth, MA 02189-2539 | 2013-05-03 |
| 1770841777 | South Bay Mental Health | Exclusive Provider Organization | 26 Pinnacle St, Hooksett, NH 03106-1535 | 2012-04-26 |
| 1720371743 | South Bay Mental Health | Early Intervention Provider Agency | 1563 N Main St. # 202, Fall River, MA 02720 | 2011-05-24 |
| 1548644370 | South Bay Mental Health | Community/Behavioral Health | 181 Union St, Suite J, Lynn, MA 01901-1311 | 2015-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTH BAY MENTAL HEALTH CENTER, INC. | 1115 West Chestnut Street, Brockton, MA 02301 |
| Connecticut Business Registrations | SOUTH BAY MENTAL HEALTH CENTER, INC. | 1115 West Chestnut St, Brockton, MA 02301 |
| Street Address |
140 HIGH ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217318 | Sudeep K Aulakh | Internal Medicine | 140 High St, Springfield, MA 01105-1442 | 2005-07-01 |
| 1801410568 | Emanuel Omar Parrilla | Physician Assistant | 140 High St, Springfield, MA 01105-1442 | 2020-05-29 |
| 1558903484 | Jillian Mary Midghall | Nurse Practitioner | 140 High St, Springfield, MA 01105-1442 | 2019-10-11 |
| 1245883610 | Katherine Newport | Nurse Practitioner | 140 High St, Springfield, MA 01105-1442 | 2019-07-24 |
| 1508424268 | Veronica Marrero | Social Worker | 140 High St, Springfield, MA 01105-1442 | 2019-05-29 |
| 1215493226 | Jessica L Rivera | Counselor | 140 High St, Springfield, MA 01105-1442 | 2019-02-14 |
| 1962977587 | Zinab Hamza Maghraby | Counselor | 140 High St, Springfield, MA 01105 | 2018-10-10 |
| 1790260925 | Alana Michelle Natale | Community/Behavioral Health | 140 High St, Springfield, MA 01105-1442 | 2018-10-03 |
| 1659854859 | Marcia Graves Roddy | Social Worker | 140 High St, Springfield, MA 01105-1442 | 2018-09-13 |
| 1174005086 | Mary D Fleming | Social Worker | 140 High St, Springfield, MA 01199-1006 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| Find all providers in zip 01105 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
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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.