SOUTH SHORE MEDICAL CENTER, INC (NPI# 1902976798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902976798 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE MEDICAL CENTER, INC |
| Practice Address |
75 Washington St Norwell MA 02061-9147 |
| Mailing Address |
75 Washington St Norwell MA 02061-1795 |
| Practice Telephone | 7818785200 |
| Mailing Telephone | 7818785200 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MS. DETTA HALPIN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7817924191 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9702873 | 05 | |
| MA | TUFTS | 702028 | 01 |
| MA | BCBSMA | M10287 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275655409 | South Shore Medical Center, Inc | Orthopaedic Surgery | 75 Washngton Street, South Shore Medical Center, Inc, Norwell, MA 02061-9147 | 2007-04-06 |
| 1033778824 | South Shore Medical Center, Inc | Allergy & Immunology | 143 Longwater Dr, Norwell, MA 02061-1683 | 2019-06-06 |
| 1285112052 | South Shore Medical Center, Inc | Clinic/Center | 143 Longwater Dr, Norwell, MA 02061-1683 | 2018-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTH SHORE MEDICAL CENTER, INC. | 75 Washington Street, Norwell, MA 02061 |
| Street Address |
75 WASHINGTON ST |
| City | NORWELL |
| State | MA |
| Zip Code | 02061-9147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366805335 | South Shore Skin Center | Dermatology | 75 Washington St, Norwell, MA 02061-1795 | 2016-03-29 |
| 1871852053 | Marguerite S Patzer | Nurse Practitioner | 75 Washington St, Norwell, MA 02061-1795 | 2012-05-09 |
| 1073702734 | Nicole M. Cormier | Dietitian, Registered | 75 Washington St, Norwell, MA 02061-1795 | 2007-10-18 |
| 1780876029 | Gina M. Lombardi | Nutritionist | 75 Washington St, Norwell, MA 02061-1795 | 2007-08-10 |
| 1316067648 | Christine Cadegan | Nurse Practitioner | 75 Washington St, Norwell, MA 02061-1795 | 2007-03-30 |
| 1932261526 | Nicole E. Lizine | Nurse Practitioner | 75 Washington St, Norwell, MA 02061-1795 | 2006-12-14 |
| 1386692515 | Christopher R Cannell | Physician Assistant | 75 Washington St, Norwell, MA 02061-1795 | 2006-05-04 |
| 1730157280 | Judith M Lennon | Nurse Practitioner | 75 Washington St, Norwell, MA 02061-1795 | 2006-03-10 |
| 1689657140 | Devon E Haines | Nutritionist | 75 Washington St, Norwell, MA 02061-1795 | 2005-11-29 |
| 1730162512 | Robert E Young | Surgery | 75 Washington St, Norwell, MA 02061-9147 | 2005-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
| 1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
| 1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
| 1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
| Find all providers in zip 02061 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851925374 | Healing Mind LLC | Counselor | 376 Washington St, Norwell, MA 02061-2046 | 2020-02-24 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1508373754 | Rameika Boyd | Counselor | 200 Cordwainer Dr Ste 200, Norwell, MA 02061-1671 | 2018-01-09 |
| 1306399837 | Toni Rose Agana | Counselor | 101 Longwater Cir Ste 101, Norwell, MA 02061-1641 | 2016-08-02 |
| 1164718011 | The Coastal Center for Developing Minds | Counselor | 133 Washington St, Norwell, MA 02061-1755 | 2011-06-20 |
| 1124163860 | Michele Quinlan Clark | Counselor | 167 Washington St Ste 42, Norwell, MA 02061-1797 | 2007-02-20 |
| 1831238633 | Anne Marie Mcnally | Counselor | 80 Washington Square, Suite D-26, Norwell, MA 02061-1740 | 2007-02-06 |
| 1699763839 | Mary A Marchant | Counselor | 148 Washington St, Norwell, MA 02061-1753 | 2005-10-12 |
| 1194323113 | Jessica Mcdowall | Counselor | 200 Cordwainer Dr, Norwell, MA 02061-1671 | 2020-10-12 |
| 1679180384 | Regina Narcisse | Counselor | 384 Washington St, Norwell, MA 02061-2010 | 2020-09-26 |
| Find all providers in NORWELL | ||||
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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.