SOUTH BAY MENTAL HEALTH (NPI# 1548644370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548644370 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH |
| Practice Address |
181 Union St Suite J Lynn MA 01901-1311 |
| Practice Telephone | 7812441950 |
| Practice Fax Number | 7812441941 |
| Mailing Telephone | 7812441950 |
| Mailing Fax Number | 7812441941 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Authorized Official Name | AGOSTINHO MENDES SILVA (FAMILY SERVICE PROVIDER) |
| Authorized Official Telephone | 7812441950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
| 1659751618 | South Bay Mental Health | Social Worker | 140 High St, Suite 230, Springfield, MA 01105-1442 | 2015-06-04 |
| 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 |
181 UNION ST SUITE J |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669561486 | Jennifer F Wood | Counselor | 181 Union St, Suite J, Lynn, MA 01901-1311 | 2006-10-11 |
| 1891343018 | Lyndsay Taylor Krisel | Community/Behavioral Health | 181 Union St, Lynn, MA 01901-1311 | 2019-08-30 |
| 1477021632 | Elyse Taylor Mccue | Student in an Organized Health Care Education/Training Program | 181 Union St, Lynn, MA 01901-1311 | 2018-11-06 |
| 1265932255 | Danielle Pacheco | Counselor | 181 Union St, Lynn, MA 01901-1311 | 2018-02-15 |
| 1942712492 | Natividad Acevedo | Counselor | 181 Union St, Lynn, MA 01901-1311 | 2017-10-24 |
| 1306361639 | Emily Madison | Counselor | 181 Union St, Lynn, MA 01901-1311 | 2017-08-08 |
| 1144743659 | Ewemade Okunmwendia | Counselor | 181 Union St, Lynn, MA 01901-1311 | 2017-07-18 |
| 1891216487 | Ceshada Chambers | Counselor | 181 Union St, Lynn, MA 01901-1311 | 2017-07-05 |
| 1063941979 | Evelyn Romero | Social Worker | 181 Union St, Lynn, MA 01901-1311 | 2017-06-06 |
| 1629502430 | Mabelle Casimir | Counselor | 181 Union St, Suite J, Lynn, MA 01901-1311 | 2017-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| 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 |
|---|---|---|---|---|
| 1841755386 | Cindy Christina Garcia | Community/Behavioral Health | 165 Verona St, Lynn, MA 01904-2041 | 2019-02-08 |
| 1538661434 | Ruth's Way Inc | Community/Behavioral Health | 26 Waitt Ave, Lynn, MA 01902-1415 | 2018-03-06 |
| 1841634870 | Child and Family Support Services | Community/Behavioral Health | 20 Central Ave Ste 507, Lynn, MA 01901-1201 | 2013-04-21 |
| 1891343018 | Lyndsay Taylor Krisel | Community/Behavioral Health | 181 Union St, Lynn, MA 01901-1311 | 2019-08-30 |
| 1427545029 | Meghan Elisabeth Friel | Community/Behavioral Health | 181 Union St Ste J, Lynn, MA 01901-1311 | 2018-04-18 |
| 1841702883 | Oscar Castro | Community/Behavioral Health | 181 Union St Ste J, Lynn, MA 01901-1311 | 2017-10-31 |
| 1821447897 | Greater Lynn Senior Services | Community/Behavioral Health | 8 Silsbee St, Lynn, MA 01901-1404 | 2016-06-09 |
| 1366896136 | Oxford Intensive Outpatient Recovery Program,llc | Community/Behavioral Health | 173 Oxford St, 1st Floor, Lynn, MA 01901-1117 | 2016-04-19 |
| 1518376367 | Lynn Community Health Center | Community/Behavioral Health | 20 Central Ave, 3rd Floor, Lynn, MA 01901-1201 | 2014-08-06 |
| 1790069532 | Eliot Community Human Services, Inc. | Community/Behavioral Health | 95 Pleasant St, Lynn, MA 01901-1524 | 2011-09-28 |
| Find all providers in LYNN | ||||
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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.