SOUTH BAY MENTAL HEALTH CENTER, INC. (NPI# 1750703062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750703062 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH CENTER, INC. |
| Other Organization Name | SOUTH BAY COMMUNITY SERVICES |
| Practice Address |
1115 West Chestnut Street Suite 202 Brockton MA 02301 |
| Practice Telephone | 5085212200 |
| Practice Fax Number | 5085842227 |
| Mailing Telephone | 5085212200 |
| Mailing Fax Number | 5085842227 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | SARA J HART (PRESIDENT/COO) |
| Authorized Official Telephone | 5083240328 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY INTERVENTION SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Other Name | Type Code |
|---|---|
| South Bay Community Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033294558 | South Bay Mental Health Center, Inc. | Clinic/Center | 1115 West Chestnut Street Suite 202, Brockton, MA 02301 | 2006-10-25 |
| 1023096864 | South Bay Mental Health Center, Inc. | Clinic/Center | 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 | 2006-01-03 |
| 1326376195 | South Bay Mental Health Center, Inc. | Community/Behavioral Health | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2009-12-05 |
| 1760560650 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-11-01 |
| 1679651566 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-11-01 |
| 1568540458 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-11-01 |
| 1477631364 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-11-01 |
| 1497830905 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-10-25 |
| 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 |
1115 WEST CHESTNUT STREET SUITE 202 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023096864 | South Bay Mental Health Center, Inc. | Clinic/Center | 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 | 2006-01-03 |
| 1629440813 | Sara M Ryan | Student in an Organized Health Care Education/Training Program | 1115 West Chestnut Street, South Bay Mental Health, Brockton, MA 02301 | 2015-10-27 |
| 1063837540 | Jessica Connearney | Social Worker | 1115 West Chestnut Street, Brockton, MA 02301 | 2014-02-20 |
| 1225478498 | Barbara Ann Cleary-simons | Behavioral Analyst | 1115 West Chestnut Street, South Bay Mental Health, Brockton, MA 02301 | 2013-07-02 |
| 1083964423 | Alicia King | Counselor | 1115 West Chestnut Street, Brockton, MA 02301 | 2012-09-13 |
| 1609125079 | Talitha Anne Collins | Counselor | 1115 West Chestnut Street, Brockton, MA 02301 | 2012-08-31 |
| 1538417118 | Ann Mary Grell | Counselor | 1115 West Chestnut Street, Brockton, MA 02301 | 2012-08-29 |
| 1437424397 | Juli Ann Sullivan | Student in an Organized Health Care Education/Training Program | 1115 West Chestnut Street, Brockton, MA 02301 | 2012-03-12 |
| 1205104064 | Alex J Weinstock | Counselor | 1115 West Chestnut Street, Brockton, NY 02301 | 2011-12-08 |
| 1164707030 | Nicole Diasio Burk | Counselor | 1115 West Chestnut Street, Brockton, MA 02301 | 2011-10-11 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548744139 | Natalie Lockhart | Early Intervention Provider Agency | 1115 W Chestnut St, Brockton, MA 02301 | 2018-09-19 |
| 1184079634 | Bamsi | Early Intervention Provider Agency | 801 Pleasant St, Brockton, MA 02301-3052 | 2016-05-03 |
| 1790118388 | South Bay Mental Health | Early Intervention Provider Agency | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2013-08-19 |
| 1174960520 | Michenide Augustin | Early Intervention Provider Agency | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2013-05-24 |
| 1487944369 | South Bay Mental Health | Early Intervention Provider Agency | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2011-04-13 |
| 1598947301 | Radiation Therpay of Southeastern Ma | Early Intervention Provider Agency | 55 Christy Dr, Brockton, MA 02301-1813 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314237 | Jessica Desmarais | Early Intervention Provider Agency | 385 County St, New Bedford, MA 02740-4931 | 2019-12-30 |
| 1174175194 | Autism Care and Training Services, LLC | Early Intervention Provider Agency | 301 Primrose Hill Rd, Dracut, MA 01826-1235 | 2019-07-10 |
| 1043776743 | Mailing Gaw | Early Intervention Provider Agency | 44 Arrowhead Rd, Weston, MA 02493-1707 | 2019-02-18 |
| 1336619360 | Siara Arielle Correa | Early Intervention Provider Agency | 85 Meadow Brook Ln, Taunton, MA 02780-2079 | 2018-12-03 |
| 1275049249 | Heather Rose Johnson | Early Intervention Provider Agency | 166 Centre Ave, Middleboro, MA 02346-2053 | 2017-12-28 |
| 1518476852 | Jessica Marie Caramanica | Early Intervention Provider Agency | 17 Cranberry Way, Marion, MA 02738-1008 | 2017-09-28 |
| 1114446432 | Autism Therapuetic Services LLC | Early Intervention Provider Agency | 25 Bjorklund Ave, Worcester, MA 01605-1065 | 2017-09-19 |
| 1730637067 | Samantha Garlington | Early Intervention Provider Agency | 43b Park St, Haverhill, MA 01830-6008 | 2016-09-15 |
| 1386099299 | Vera Fernandes | Early Intervention Provider Agency | 191 Eugenia St, New Bedford, MA 02745-5232 | 2016-04-28 |
| 1699148320 | Emily Mann | Early Intervention Provider Agency | 3 Charity Ln, Dedham, MA 02026-2335 | 2015-11-03 |
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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.