SOUTH BAY MENTAL HEALTH (NPI# 1649637166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649637166 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH |
| Practice Address |
32 Park St Fl 3 Adams MA 01220-2085 |
| Practice Telephone | 4134416965 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | CARRIE NOWICKI (CLINICIAL SOCIAL WORKER) |
| Authorized Official Telephone | 4134416965 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
32 PARK ST FL 3 |
| City | ADAMS |
| State | MA |
| Zip Code | 01220-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700388006 | Susan Lee Norris | Family Medicine | World Health Organization, Avenue Appia 20, Geneva, GE 01220 | 2018-03-02 |
| 1760930911 | Roxanne Malloy | Behavioral Analyst | 110 Columbia Street, 1st Floor South, Adams, MA 01220 | 2016-09-16 |
| 1912272899 | Community Health Programs, Inc | Clinic/Center | 19 Depot Street, Adams, MA 01220 | 2012-03-12 |
| 1912008665 | Barbara Ann Teresa Vallone | Registered Nurse | 1 Berkshire Square, Cataract & Laser Assoc, Adams, MA 01220 | 2006-09-26 |
| 1477572428 | Bertram Miles Beisiegel | Dentist | 190 Depot St, Doctors Bldg, Adams, MA 01220 | 2006-07-19 |
| 1124047154 | Martin K Bush | Dentist | 9 Park Street, Adams, MA 01220 | 2006-07-19 |
| 1942267927 | Bonnie H Herr | Obstetrics & Gynecology | 2 Park St, Gyn, Adams, MA 01220 | 2006-04-26 |
| 1770599003 | Irene T Mcharg | Nurse Anesthetist, Certified Registered | 1 Berkshire Square, Sutie 110, Adams, MA 01220 | 2006-07-31 |
| 1821042821 | Joan E Lister | Obstetrics & Gynecology | 2 Park St, Gyn, Adams, MA 01220 | 2006-05-22 |
| 1396168084 | Amanda Green | Occupational Therapy Assistant | 10 Notch Rd, Adams, MA 01220-1012 | 2014-01-30 |
| Find all providers in zip 01220 | ||||
| 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 |
|---|---|---|---|---|
| 1275132458 | Autism Behavioral & Therapeutic Services | Community/Behavioral Health | 5 Bedford Ave, Worcester, MA 01604-4707 | 2020-10-20 |
| 1508463811 | Clear Minded Care, Pllc | Community/Behavioral Health | 519 Somerville Ave # 291, Somerville, MA 02143-3347 | 2020-10-08 |
| 1316544455 | Barbara J Doyle Counseling Services Professional LLC | Community/Behavioral Health | 20 Hope Ave Ste 107, Waltham, MA 02453-2717 | 2020-10-01 |
| 1013524917 | Leonid G Zolotnitskiy Md PC | Community/Behavioral Health | 1853 Commonwealth Ave Ste 1, Brighton, MA 02135-5498 | 2020-09-25 |
| 1811502966 | R.e.s.t. Counseling Services, LLC | Community/Behavioral Health | 36 Tirrell St # 1, Worcester, MA 01603-2617 | 2020-09-14 |
| 1972118719 | Jose Alfredo Lugo-estrada | Community/Behavioral Health | 484 Bedford St Unit 2, East Bridgewater, MA 02333-1908 | 2020-09-09 |
| 1992318927 | Jessie Odegard Pllc | Community/Behavioral Health | 144 Sudbury Rd, Weston, MA 02493-1351 | 2020-08-28 |
| 1750994109 | Summit Community Services, LLC | Community/Behavioral Health | 214 Exchange St, Millis, MA 02054-1277 | 2020-08-26 |
| 1013527860 | Tara Goldberg | Community/Behavioral Health | 21 Wilson Ave, Northampton, MA 01060-3813 | 2020-08-06 |
| 1619587490 | Maat Therapeutic Solutions Inc. | Community/Behavioral Health | 1773 Dorchester Ave Ste 3, Boston, MA 02124-2556 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.