BROCKTON NEIGHBORHOOD H. C. (NPI# 1619066917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619066917 |
Entity Type | Organization |
Organization Name | BROCKTON NEIGHBORHOOD H. C. |
Practice Address |
231 Main St 302 Brockton MA 02301-4342 |
Mailing Address |
231 Main St 200 Brockton MA 02301-4342 |
Practice Telephone | 5085591567 |
Practice Fax Number | 5085595073 |
Mailing Telephone | 5085842708 |
Mailing Fax Number | 5085591158 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JULIUS N. COLES (DENTISRY) |
Authorized Official Telephone | 5085842708 |
Authorized Official Credential | MDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | 1210420 | MA | Managed Care Organizations |
Street Address |
231 MAIN ST 302 |
City | BROCKTON |
State | MA |
Zip Code | 02301-4342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790333854 | Kimberly Monteiro | Student in an Organized Health Care Education/Training Program | 231 Main St, Brockton, MA 02301-4342 | 2019-08-30 |
1104472737 | Eliina Anna Sofia Novamo | Counselor | 231 Main St, Brockton, MA 02301-4342 | 2019-08-09 |
1225501117 | Sarenna Liss Rosario | Counselor | 231 Main St, Brockton, MA 02301-4342 | 2019-01-03 |
1528544574 | Mark Andrew O'toole | Counselor | 231 Main St, Brockton, MA 02301-4342 | 2018-07-12 |
1952838559 | Shanna Ann Townley | Counselor | 231 Main St, Brockton, MA 02301-4342 | 2017-05-15 |
1669820486 | Katherine E Terrio | Counselor | 231 Main St, Suite 300, Brockton, MA 02301-4342 | 2016-06-02 |
1114383486 | Jessica Margolin | Counselor | 231 Main St, Brockton, MA 02301-4342 | 2016-01-02 |
1003281411 | Cecilia Vicente | Counselor | 231 Main St, Suite 300, Brockton, MA 02301-4342 | 2015-12-10 |
1467825364 | Elizabeth Dillard | Counselor | 231 Main St, 3rd Floor, Brockton, MA 02301-4342 | 2015-11-02 |
1164890257 | Eryne Cotter | Social Worker | 231 Main St, Suite 300, Brockton, MA 02301-4342 | 2015-09-08 |
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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 Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750504957 | Family Rehab Clinic | Preferred Provider Organization | 231 Main St Ste 103, Brockton, MA 02301-4342 | 2007-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811435803 | Kimberly Miller | Preferred Provider Organization | 20 Will Palmer Rd, Southwick, MA 01077-9730 | 2017-02-09 |
1619351269 | Venusdentalpc | Preferred Provider Organization | 63 Great Rd Ste 105, Maynard, MA 01754-2097 | 2015-07-14 |
1780068452 | Keishla Rivera | Preferred Provider Organization | 135 Shawmut St, Chelsea, MA 02150 | 2015-07-13 |
1750770764 | Balance Touch Homecare Agency | Preferred Provider Organization | 353 Whiting Ave, Dedham, MA 02026-3234 | 2015-01-14 |
1780089755 | Happy Kjc, LLC | Preferred Provider Organization | 29 Harvard St Fl 3, Brookline, MA 02445-7952 | 2014-11-03 |
1316369622 | Consolidated Health Plan | Preferred Provider Organization | 2077 Roosevelt Ave, Springfield, MA 01104-1657 | 2014-01-07 |
1992131528 | Rockn Kids Dental | Preferred Provider Organization | 51 Galen St, Watertown, MA 02472-4503 | 2013-09-14 |
1417399270 | Wahid Mistikawi Dba Greatwoods Family Dentistry | Preferred Provider Organization | 792south Main St, 24, Mansfield, MA 02048-3137 | 2013-07-22 |
1114211083 | D. James Thomas Ministries Inc | Preferred Provider Organization | 121 Hazelton St, Mattapan, MA 02126-3135 | 2011-06-07 |
1376879197 | Cheri Gaffney | Preferred Provider Organization | 7 Rolling Ridge Rd, Rutland, MA 01543-1782 | 2009-10-29 |
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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.