SOUTH BAY MENTAL HEALTH CENTER (NPI# 1780025189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780025189 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH CENTER |
| Practice Address |
15 S Point Dr Apartment 605 Boston MA 02125-3564 |
| Practice Telephone | 8572256908 |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2013-07-13 |
| Authorized Official Name | KAREN SHANAHAN (CLINIC DIRECTOR) |
| Authorized Official Telephone | 7812441950 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992068217 | South Bay Mental Health Center | Behavioral Analyst | 20 Artemis Rd, Salem, NH 03079-5603 | 2012-06-21 |
| 1225441256 | South Bay Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 140 High St, Springfield, MA 01199-1006 | 2014-06-06 |
| 1023436052 | South Bay Mental Health Center | Community/Behavioral Health | 140 High St, Suite 230, Springfield, MA 01105-1442 | 2014-04-07 |
| 1205180163 | South Bay Mental Health Center | Early Intervention Provider Agency | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2012-10-30 |
| 1790092088 | South Bay Mental Health Center | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2010-09-08 |
| 1871720441 | South Bay Mental Health Center | Case Management | 541 Main St, Weymouth, MA 02190-1868 | 2009-06-22 |
| 1205082690 | South Bay Mental Health Center | Community/Behavioral Health | 1563 N Main St, Fall River, MA 02720-2983 | 2008-08-18 |
| 1508077496 | South Bay Mental Health Center | Case Management | 332 Main St, 30, Worcester, MA 01608-1517 | 2007-05-24 |
| 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 |
15 S POINT DR APARTMENT 605 |
| City | BOSTON |
| State | MA |
| Zip Code | 02125-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174976401 | Maria Franco | Student in an Organized Health Care Education/Training Program | 15 S Point Dr, Boston, MA 02125-3564 | 2016-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "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. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413725 | Massachusetts Interlocal Insurance Association | Health Maintenance Organization | 1 Winthrop Sq, Boston, MA 02110-1209 | 2020-10-06 |
| 1902153380 | Boston Pain Relief Massage Therapy | Health Maintenance Organization | 76 Summer St Ste 220, Boston, MA 02110-1273 | 2012-08-06 |
| 1396344032 | Dentaquest of Illinois, LLC | Health Maintenance Organization | 465 Medford St, Boston, MA 02129-1426 | 2020-10-23 |
| 1376900050 | Amir Mohsen Mahoozi Dmd, PC | Health Maintenance Organization | 388 Commonwealth Ave, Unit B-1, Boston, MA 02215-2800 | 2016-01-26 |
| 1104248723 | Abac Incorporated | Health Maintenance Organization | 995 Blue Hill Ave, Boston, MA 02124-2828 | 2014-01-16 |
| 1659701191 | Boston Pain Relief LLC | Health Maintenance Organization | 76 Summer St, Boston, MA 02110-1225 | 2013-11-20 |
| 1891122008 | Judith Lynch | Health Maintenance Organization | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2013-10-02 |
| 1952735789 | North East Behavioral Health | Health Maintenance Organization | 784 Massachusetts Ave, Boston, MA 02118 | 2013-08-28 |
| 1417291741 | Sun Wellness Acupuncture PC | Health Maintenance Organization | 1208b Vfw Pkwy Ste 201, Boston, MA 02132-4350 | 2012-11-27 |
| 1457501801 | Bromar Optical Service Inc | Health Maintenance Organization | 319 Longwood Ave, Boston, MA 02115-5728 | 2008-09-23 |
| Find all providers in BOSTON | ||||
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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.