SOUTH BAY MENTAL HEALTH (NPI# 1902165285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902165285 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH |
| Practice Address |
1563 N Main St Fall River MA 02720-2983 |
| Practice Telephone | 5083241060 |
| Mailing Telephone | 5083241060 |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |
| Authorized Official Name | MR. NICHOLAS OSCAR SUNESON (THERAPEUTIC MENTOR) |
| Authorized Official Telephone | 5083241060 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | S47875271 | MA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649637166 | South Bay Mental Health | Community/Behavioral Health | 32 Park St Fl 3, Adams, MA 01220-2085 | 2016-01-28 |
| 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 |
| 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 |
1563 N MAIN ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-2983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730240581 | Marie S Chase | Counselor | 1563 N Main St, Suite 202, Fall River, MA 02720-2983 | 2006-12-13 |
| 1194179846 | Kelsey Lebreux | Behavioral Analyst | 1563 N Main St, Suite 202, Fall River, MA 02720-2983 | 2016-04-19 |
| 1326492455 | Belinda Lee Price | Occupational Therapist | 1563 N Main St, Suite 202, Fall River, MA 02720-2983 | 2016-04-14 |
| 1912366170 | Emily Wotton | Student in an Organized Health Care Education/Training Program | 1563 N Main St, Fall River, MA 02720-2983 | 2016-02-16 |
| 1316315906 | Abigail Dawes | Social Worker | 1563 N Main St, Fall River, MA 02720-2983 | 2015-09-13 |
| 1649648957 | Chante Fonseca Da Cruz | Behavioral Analyst | 1563 N Main St, Fall River, MA 02720-2983 | 2015-09-03 |
| 1801283783 | Antonia Lacava | Student in an Organized Health Care Education/Training Program | 1563 N Main St, Suite 202, Fall River, MA 02720-2983 | 2015-04-18 |
| 1831597541 | Gared Deady | Counselor | 1563 N Main St, Fall River, MA 02720-2983 | 2014-12-11 |
| 1447655493 | Christine Regan Clark | Occupational Therapist | 1563 N Main St, #202, Fall River, MA 02720-2983 | 2014-11-01 |
| 1578971693 | Elsa Abakah | Student in an Organized Health Care Education/Training Program | 1563 N Main St, Suite Number 202, Fall River, MA 02720-2983 | 2014-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| 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 |
|---|---|---|---|---|
| 1780165571 | Lifting Spirits - Healing Minds, LLC | Community/Behavioral Health | 10 Purchase St Ste 301, Fall River, MA 02720-3100 | 2018-08-28 |
| 1528525540 | Brianne T Dixon | Community/Behavioral Health | 1082 Davol St, Fall River, MA 02720-1124 | 2019-02-26 |
| 1225526908 | Stanley Street Treatment and Resources, Inc. | Community/Behavioral Health | 386 Stanley St, Fall River, MA 02720-6009 | 2018-04-27 |
| 1790222768 | Compassionate Counseling Company | Community/Behavioral Health | 126 President Ave, Fall River, MA 02720-2649 | 2017-01-27 |
| 1225499718 | Corrigan Mental Health Center | Community/Behavioral Health | 49 Hillside St, Fall River, MA 02720-5211 | 2016-03-11 |
| 1194131524 | Jennifer Eberle | Community/Behavioral Health | 1563 N Main St, Suite 202, Fall River, MA 02720-2983 | 2014-07-07 |
| 1346590932 | Amanda Craig | Community/Behavioral Health | 1563 N Main St, Suite 202, Fall River, MA 02720-2983 | 2012-09-11 |
| 1518270735 | Child and Family Services | Community/Behavioral Health | 66 Troy St, Fall River, MA 02720-3023 | 2010-07-16 |
| 1114251071 | Family Serivce Association of Fall River | Community/Behavioral Health | 151 Rock St, Fall River, MA 02720-3201 | 2009-09-25 |
| 1720213499 | Arbour Counseling Services | Community/Behavioral Health | 10 N Main St, Fall River, MA 02720-2130 | 2009-05-23 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
Please comment or provide details below to improve the information on SOUTH BAY MENTAL HEALTH.
| 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.