BROCKTON NEIGHBORHOOD HEALTH CENTER


Address: 63 Main St, Brockton, MA 02301-4042
Phone: 5085596699

BROCKTON NEIGHBORHOOD HEALTH CENTER (NPI# 1225085319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225085319
Entity Type Organization
Organization Name BROCKTON NEIGHBORHOOD HEALTH CENTER
Practice Address 63 Main St
Brockton
MA 02301-4042
Practice Telephone 5085596699
Practice Fax Number 5085595073
Mailing Telephone 5085596699
Mailing Fax Number 5085595073
Enumeration Date 2006-05-27
Last Update Date 2018-05-03
Authorized Official Name MELVIN BENSON (CFO)
Authorized Official Telephone 5088943642
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
4896 MA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MA MASSHEALTH 1309927 01
MA NHP 0006827 01
MA BLUE CROSS BLUE SHIELD M18107 01
MA UNITED CARE 0192330 01
MA 000000021197 05
MA 606260 606260 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497148407 Brockton Neighborhood Health Center Clinic/Center 158 Pleasant Street, Brockton, MA 02301 2015-03-16
1942351010 Brockton Neighborhood Health Center Podiatrist 231 Main St 3rd, Brockton, MA 02301 2007-01-16
1770634776 Brockton Neighborhood Health Center Health Maintenance Organization 231 Main St Fl 3, Brockton, MA 02301-4342 2007-01-16
1548663875 Brockton Neighborhood Health Center Clinic/Center 54 N Main St, Brockton, MA 02301 2014-10-01
1346391224 Brockton Neighborhood Health Center Health Maintenance Organization 157 Main St, Brockton, MA 02301-4012 2007-01-16
1255482139 Brockton Neighborhood Health Center Clinic/Center 157 Main St, Brockton, MA 02301-4012 2007-01-16

Office Location

Street Address 63 MAIN ST
City BROCKTON
State MA
Zip Code 02301-4042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982602223 Kathleen P Pringle Advanced Practice Midwife 63 Main St, Brockton, MA 02301-4042 2005-07-11
1639770548 Meredith Hansen Social Worker 63 Main St, Brockton, MA 02301-4042 2020-11-06
1699399824 Maya Don Chay Registered Nurse 63 Main St, Brockton, MA 02301-4042 2020-06-03
1588204259 Jennifer Koningisor Social Worker 63 Main St, Brockton, MA 02301-4042 2020-01-10
1679112163 Bianca St. Louis Nurse Practitioner 63 Main St, Brockton, MA 02301-4042 2019-12-31
1245877505 Sarah Beth Blodgett Social Worker 63 Main St, Brockton, MA 02301-4042 2019-12-05
1235780107 Chloe Martin Social Worker 63 Main St, Brockton, MA 02301-4042 2019-09-23
1417505967 Elizabeth Coley Social Worker 63 Main St, Brockton, MA 02301-4042 2019-08-28
1225683758 Rachel Revis Social Worker 63 Main St, Brockton, MA 02301-4042 2019-08-01
1376105130 Johanne Cazeau Nurse Practitioner 63 Main St, Brockton, MA 02301-4042 2019-07-02
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497148407 Brockton Neighborhood Health Center Clinic/Center 158 Pleasant Street, Brockton, MA 02301 2015-03-16
1548663875 Brockton Neighborhood Health Center Clinic/Center 54 N Main St, Brockton, MA 02301 2014-10-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780183913 Family Health Center of Worcester, Inc. Clinic/Center 420 Grafton St, Worcester, MA 01604-3802 2018-02-02
1942759162 Community Health Programs, Inc Clinic/Center 510 North St., Pittsfield, MA 01201 2016-09-29
1942663851 Boston Health Care for The Homeless Program, Inc. Clinic/Center 461 Walnut Ave, Jamaica Plain, MA 02130 2016-03-30
1053729426 Community Health Connections, Inc. Clinic/Center 140 Arnhow Farm Road, Fitchburg, MA 01420-1369 2014-07-29
1689092595 Lowell Community Health Center, Inc. Clinic/Center 101 Jackson St, Lowell, MA 01852-2103 2014-03-29
1912272899 Community Health Programs, Inc Clinic/Center 19 Depot Street, Adams, MA 01220 2012-03-12
1225323777 Family Health Center of Worcester, Inc. Clinic/Center 14 Richards St, Goddard Health Center, Worcester, MA 01603-2609 2011-06-13
1801181334 Family Health Center of Worcester, Inc. Clinic/Center 140 Apricot St, Sullivan Middle Health Center, Worcester, MA 01603-1225 2011-06-13
1720373251 Family Health Center of Worcester, Inc. Clinic/Center 299 Highland St, Doherty School Based Health Center, Worcester, MA 01602-2110 2011-06-13
1144514316 Family Health Center of Worcester, Inc. Clinic/Center 15 Claremont St, School-based Health Center, Worcester, MA 01610-1436 2011-06-06
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Competitor

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City BROCKTON
Zip Code 02301

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Dataset Information

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.

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