SOUTH BAY MENTAL HEALTH (NPI# 1265797252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265797252 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH |
| Practice Address |
50 Aldrin Rd Plymouth MA 02360-4827 |
| Practice Telephone | 5088300000 |
| Practice Fax Number | 5087468429 |
| Mailing Telephone | 5088300000 |
| Mailing Fax Number | 5087468429 |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |
| Authorized Official Name | MRS. SUSAN HELEN SANFORD (CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 5088300000 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1026901 | MA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | COMMONWEALTH OF MASSACHUSETTS/ SOCIAL WORKER/ LICSW | 1026901 | 01 |
| 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 |
50 ALDRIN RD |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-4827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760422976 | Sheila L. Celli | Social Worker | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2006-06-07 |
| 1568078384 | Jessica Moore | Counselor | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2020-09-17 |
| 1083246326 | Brittany Kyriakides | Community Health Worker | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2020-02-05 |
| 1144851692 | Nashley Ivette Nieves | Psychologist | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2020-02-03 |
| 1770138471 | Elizabeth G. Stettenbauer | Counselor | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2019-08-08 |
| 1760945331 | Alexandra Renee Leclerc | Community Health Worker | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2019-04-10 |
| 1255890661 | Mikel Arrindell | Behavioral Analyst | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2019-03-15 |
| 1841755295 | Joanne Marie Dunphy | Counselor | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2019-02-08 |
| 1225507031 | Victoria Deanna Branch | Counselor | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2018-11-21 |
| 1861971871 | Caroline Johnson | Counselor | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2018-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720562697 | Cdagape LLC | Community/Behavioral Health | 1098 Ann Arbor Rd W, Plymouth, MI 48170-2129 | 2018-09-18 |
| 1831682210 | Nicole Cushman | Community/Behavioral Health | 68 S Meadow Rd # 68, Plymouth, MA 02360-4742 | 2018-06-11 |
| 1750891396 | Crossroads Treatment Center of Plymouth, PC | Community/Behavioral Health | 116 Long Pond Rd Ste 2-3, Plymouth, MA 02360-2663 | 2017-10-10 |
| 1982091898 | Second Nature Social Skills | Community/Behavioral Health | 15 Main Street Ext Ste 7, Plymouth, MA 02360-3383 | 2015-04-17 |
| 1205260387 | Curran Counseling | Community/Behavioral Health | 248 Water St, Apt 2, Plymouth, MA 02360-4033 | 2013-08-26 |
| 1730449398 | Future Empowerment | Community/Behavioral Health | 117 W Water St, Plymouth, NC 27962-1305 | 2012-05-16 |
| 1528336088 | S-t-e-p-s | Community/Behavioral Health | 2535 Us Highway 64 W, Plymouth, NC 27962-9349 | 2011-12-12 |
| 1831422005 | Pathfinders of Coastal Carolina, Inc. | Community/Behavioral Health | 301 Roanoke Ave, Plymouth, NC 27962-1521 | 2009-09-04 |
| 1063657724 | Community Alignments & Adjustments | Community/Behavioral Health | 609 Wilson St, Plymouth, NC 27962-2119 | 2008-12-10 |
| 1962650507 | Elite Professinal Services, LLC | Community/Behavioral Health | 119 E Water St, Plymouth, NC 27962-1300 | 2008-09-08 |
| Find all providers in PLYMOUTH | ||||
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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.