SOUTH BAY MENTAL HEALTH CENTER (NPI# 1023436052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023436052 |
Entity Type | Organization |
Organization Name | SOUTH BAY MENTAL HEALTH CENTER |
Practice Address |
140 High St Suite 230 Springfield MA 01105-1442 |
Practice Telephone | 5087914976 |
Enumeration Date | 2014-04-07 |
Last Update Date | 2014-04-07 |
Authorized Official Name | MR. JOHN PAGLIER JR. (COUNSELOR) |
Authorized Official Telephone | 4134417352 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780025189 | South Bay Mental Health Center | Health Maintenance Organization | 15 S Point Dr, Apartment 605, Boston, MA 02125-3564 | 2013-07-13 |
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 |
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 |
140 HIGH ST SUITE 230 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01105-1442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043217318 | Sudeep K Aulakh | Internal Medicine | 140 High St, Springfield, MA 01105-1442 | 2005-07-01 |
1801410568 | Emanuel Omar Parrilla | Physician Assistant | 140 High St, Springfield, MA 01105-1442 | 2020-05-29 |
1558903484 | Jillian Mary Midghall | Nurse Practitioner | 140 High St, Springfield, MA 01105-1442 | 2019-10-11 |
1245883610 | Katherine Newport | Nurse Practitioner | 140 High St, Springfield, MA 01105-1442 | 2019-07-24 |
1508424268 | Veronica Marrero | Social Worker | 140 High St, Springfield, MA 01105-1442 | 2019-05-29 |
1215493226 | Jessica L Rivera | Counselor | 140 High St, Springfield, MA 01105-1442 | 2019-02-14 |
1962977587 | Zinab Hamza Maghraby | Counselor | 140 High St, Springfield, MA 01105 | 2018-10-10 |
1790260925 | Alana Michelle Natale | Community/Behavioral Health | 140 High St, Springfield, MA 01105-1442 | 2018-10-03 |
1659854859 | Marcia Graves Roddy | Social Worker | 140 High St, Springfield, MA 01105-1442 | 2018-09-13 |
1174005086 | Mary D Fleming | Social Worker | 140 High St, Springfield, MA 01199-1006 | 2018-09-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
Find all providers in zip 01105 |
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 |
---|---|---|---|---|
1518500107 | Radame Antonio Jusino | Community/Behavioral Health | 6 Loretta St, Springfield, MA 01118-1045 | 2019-10-25 |
1639710577 | Southeast Wellness Works | Community/Behavioral Health | 189 E 9th Ave, Springfield, CO 81073-1601 | 2019-10-02 |
1083260798 | Rite Care Home Health Services, LLC | Community/Behavioral Health | 9420 Park Hunt Ct, Springfield, VA 22153-1351 | 2019-08-18 |
1972159770 | Dr. Wadeson, LLC | Community/Behavioral Health | 5133 S Campbell Ave Ste 204, Springfield, MO 65810-2437 | 2019-08-16 |
1407408081 | Treasure of Hope Florida Inc | Community/Behavioral Health | 44 Edgewood St, Springfield, MA 01109-3025 | 2019-07-12 |
1013577642 | Latino Counseling Center, Inc | Community/Behavioral Health | 125 Liberty St Ste 100, Springfield, MA 01103-1109 | 2019-06-17 |
1871157768 | Able Autism Care LLC | Community/Behavioral Health | 54 Bissell St, Springfield, MA 01119-1451 | 2019-04-25 |
1528535770 | Tenea Claudette Davis | Community/Behavioral Health | 122 Chestnut St, Springfield, MA 01103-1538 | 2018-10-25 |
1982195707 | Asra Mir | Community/Behavioral Health | 140 High St Ste 2, Springfield, MA 01105-1442 | 2018-05-29 |
1558895375 | Legacy Counseling LLC | Community/Behavioral Health | 6564 Loisdale Ct Ste 600, Springfield, VA 22150-1829 | 2017-04-18 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01105 |
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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.