COMMONWEALTH OF MASSACHUSETTS-DMH (NPI# 1821117359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821117359 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF MASSACHUSETTS-DMH |
| Other Organization Name | BROCKTON MULTI SERVICE CENTER CASE MGMT |
| Practice Address |
165 Quincy St Brockton MA 02302-2988 |
| Mailing Address |
25 Staniford St Boston MA 02114-2503 |
| Practice Telephone | 5088972000 |
| Mailing Telephone | 6176268000 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD JOBIN (SITE DIRECTOR) |
| Authorized Official Telephone | 5088972000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | EXEMPT | MA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1802143 | 05 |
| Other Name | Type Code |
|---|---|
| Brockton Multi Service Center Case Mgmt | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457471286 | Commonwealth of Massachusetts-dmh | Case Management | 5 Randolph St, Donovan Building, 2nd Floor, Canton, MA 02021-2352 | 2007-03-29 |
| 1295855856 | Commonwealth of Massachusetts-dmh | Case Management | 460 Quincy Ave, Quincy, MA 02169-8130 | 2007-03-29 |
| 1144340845 | Commonwealth of Massachusetts-dmh | Case Management | 288 Lyman St, Westborough, MA 01581-2633 | 2007-03-29 |
| 1043330731 | Commonwealth of Massachusetts-dmh | Case Management | 20 Academy St, Arlington, MA 02476-6401 | 2007-03-29 |
| 1649390238 | Commonwealth of Massachusetts-dmh | Community/Behavioral Health | 288 Lyman St, Westborough, MA 01581-2633 | 2007-03-29 |
| 1710006051 | Commonwealth of Massachusetts-dmh | Community/Behavioral Health | 165 Quincy St, Brockton, MA 02302-2988 | 2007-03-28 |
| 1124147525 | Commonwealth of Massachusetts-dmh | Case Management | 49 Hillside St, Fall River, MA 02720-5211 | 2007-03-28 |
| 1194844506 | Commonwealth of Massachusetts-dmh | Case Management | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2007-03-28 |
| 1003935412 | Commonwealth of Massachusetts-dmh | Case Management | 60 Hodges Ave, Taunton, MA 02780-3034 | 2007-03-28 |
| 1760501175 | Commonwealth of Massachusetts-dmh | Case Management | 800 Purchase St, New Bedford, MA 02740-6355 | 2007-03-28 |
| Street Address |
165 QUINCY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326155458 | The Commonwealth of Massachusetts | Pharmacy | 165 Quincy St, Brockton, MA 02302-2988 | 2006-08-24 |
| 1902415813 | Sarah Coppenrath | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2020-07-27 |
| 1104307347 | Julia A Meehan | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2018-08-26 |
| 1043790629 | Holly Calamese-grazette | Social Worker | 165 Quincy St, Brockton, MA 02302-2988 | 2018-08-14 |
| 1427560796 | Wibie S Altidor | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-10-26 |
| 1598283459 | Janelle Weir | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-31 |
| 1699292839 | Justine Mcmahon | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-28 |
| 1932626504 | Alice Massery | Registered Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-24 |
| 1326565169 | Deann Paul | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-08-23 |
| 1144768045 | Commonwealth of Massachusetts | Community Based Residential Treatment Facility, Mental Illness | 165 Quincy St, Brockton, MA 02302-2988 | 2017-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861958787 | Alliance Adult Family Care LLC | Case Management | 41 Camden Ave, Brockton, MA 02301-5014 | 2019-02-15 |
| 1730578691 | Father Bills and Mainspring | Case Management | 430 Belmont St, Brockton, MA 02301-4921 | 2015-01-15 |
| 1245364595 | Commonwealth of Massachusetts-dds | Case Management | 500 Belmont Street, Brockton, MA 02301 | 2007-03-16 |
| 1205219540 | Rebecca Abbott | Case Management | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2015-07-06 |
| 1750655213 | Father Bills & Mainspring | Case Management | 26 Spring St, Brockton, MA 02301-8402 | 2012-03-01 |
| 1609998467 | Old Colony Elderly Services, Inc. | Case Management | 144 Main St, 2nd Floor, Brockton, MA 02301-4046 | 2007-04-04 |
| 1134241995 | Old Colony Elderly Services, Inc. | Case Management | 144 Main St, 2nd Floor, Brockton, MA 02301-4046 | 2007-04-04 |
| 1033239058 | Old Colony Elderly Services, Inc. | Case Management | 144 Main St, 2nd Floor, Brockton, MA 02301-4046 | 2007-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130496 | Back To Home Healthcare Services, LLC | Case Management | 19 Brookwood Rd, Attleboro, MA 02703-4303 | 2020-09-30 |
| 1639785462 | Hair Loss Center of Boston LLC | Case Management | 123 Ashland St # 2, Melrose, MA 02176-1235 | 2020-09-17 |
| 1124631692 | Elemental Intuition LLC | Case Management | 131 W Main St Ste 340, Orange, MA 01364-1164 | 2020-08-25 |
| 1558972125 | Elemental Intuition LLC | Case Management | 585 E River St, Orange, MA 01364-1811 | 2020-08-16 |
| 1467091033 | Right Choice Health Group LLC | Case Management | 125 Liberty St Ste 205, Springfield, MA 01103-1109 | 2019-12-31 |
| 1770136418 | Caregiver Homes of North Carolina Inc | Case Management | 120 St. James Ave., Seniorlink, Boston, MA 02116-3740 | 2019-07-22 |
| 1932761186 | Caregiver Homes of Georgia Inc | Case Management | 120 St. James Ave, Seniorlink, Boston, MA 02116-3740 | 2019-07-08 |
| 1770041261 | Jeanne Takahashi | Case Management | 16 Spooner St, Plymouth, MA 02360-4451 | 2019-03-04 |
| 1649741125 | Boston Senior Home Care | Case Management | 89 South St Ste 501, Boston, MA 02111-2748 | 2018-12-10 |
| 1316422579 | Elder Services of Berkshire County | Case Management | 877 South St Ste 4e, Pittsfield, MA 01201-8243 | 2018-10-03 |
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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.