SOUTH BAY MENTAL HEALTH CENTER (NPI# 1205180163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205180163 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH CENTER |
| Practice Address |
463 Swansea Mall Dr Swansea MA 02777-4119 |
| Mailing Address |
8 Greenfield Ave North Providence RI 02911-2045 |
| Practice Telephone | 5083241060 |
| Mailing Telephone | 4015756771 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | CATHERINE O'SHAUGHNESSY (EARLY INTERVENTION SPECIALIST) |
| Authorized Official Telephone | 4015756771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 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 |
| 1023436052 | South Bay Mental Health Center | Community/Behavioral Health | 140 High St, Suite 230, Springfield, MA 01105-1442 | 2014-04-07 |
| 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 |
463 SWANSEA MALL DR |
| City | SWANSEA |
| State | MA |
| Zip Code | 02777-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174737175 | Rebecca Marie Green | Counselor | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2007-05-09 |
| 1619595378 | Kaitlyn Elizabeth Morreale | Community/Behavioral Health | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-07-09 |
| 1801418033 | Brandon M Couture | Counselor | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-05-11 |
| 1114549672 | Kelsey Elizabeth Gamble | Social Worker | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-05-07 |
| 1457987216 | Kayla Dasilva | Social Worker | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-03-12 |
| 1669006094 | Caitlin Botelho | Community/Behavioral Health | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-02-25 |
| 1093345597 | Brenda Quinn | Early Intervention Provider Agency | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-01-23 |
| 1447890959 | Christina Souza | Community/Behavioral Health | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-01-13 |
| 1417595612 | Amy Lynn Bailey | Counselor | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2019-12-18 |
| 1386282663 | Kaitlyn Saucier | Social Worker | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2019-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003399205 | Patricia Ann Golden | Social Worker | 377 Bark St, Swansea, MA 02777 | 2018-09-13 |
| 1275933921 | Traci Rigano | Social Worker | 664 Stevens Road, Swansea, MA 02777 | 2014-08-31 |
| 1821419169 | Vivienne Kathryn Joffe | Social Worker | 453 Swansea Mall Dr., Swansea, MA 02777 | 2014-01-03 |
| 1477898047 | One Solution Homecare | Custodial Care Facility | 310 Wilbur Avenue, Suite 7, Swansea, MA 02777 | 2012-12-07 |
| 1093077976 | Samantha Stone | Student in an Organized Health Care Education/Training Program | 463 Swansea Mall Drive, Swansea, MA 02777 | 2012-06-15 |
| 1013209311 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2340 Gar Highway, Swansea, MA 02777 | 2011-05-05 |
| 1538318720 | Templer Dentistry, LLC | Dentist | 1010 G.a.r. Hyghway, Swansea, MA 02777 | 2008-09-12 |
| 1619156767 | Melanie Beth Jette | Counselor | 789 Stevens Rd., Swansea, MA 02777 | 2007-10-25 |
| 1780708206 | Francis M James | Obstetrics & Gynecology | 164 Seaview Ave, Swansea, MA 02777 | 2007-03-19 |
| 1659402899 | Mary Anne Delcupolo Dds PC | Dentist | H2 Swansea Mall, Swansea, MA 02777 | 2007-03-08 |
| Find all providers in zip 02777 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093345597 | Brenda Quinn | Early Intervention Provider Agency | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314237 | Jessica Desmarais | Early Intervention Provider Agency | 385 County St, New Bedford, MA 02740-4931 | 2019-12-30 |
| 1174175194 | Autism Care and Training Services, LLC | Early Intervention Provider Agency | 301 Primrose Hill Rd, Dracut, MA 01826-1235 | 2019-07-10 |
| 1043776743 | Mailing Gaw | Early Intervention Provider Agency | 44 Arrowhead Rd, Weston, MA 02493-1707 | 2019-02-18 |
| 1336619360 | Siara Arielle Correa | Early Intervention Provider Agency | 85 Meadow Brook Ln, Taunton, MA 02780-2079 | 2018-12-03 |
| 1275049249 | Heather Rose Johnson | Early Intervention Provider Agency | 166 Centre Ave, Middleboro, MA 02346-2053 | 2017-12-28 |
| 1518476852 | Jessica Marie Caramanica | Early Intervention Provider Agency | 17 Cranberry Way, Marion, MA 02738-1008 | 2017-09-28 |
| 1114446432 | Autism Therapuetic Services LLC | Early Intervention Provider Agency | 25 Bjorklund Ave, Worcester, MA 01605-1065 | 2017-09-19 |
| 1730637067 | Samantha Garlington | Early Intervention Provider Agency | 43b Park St, Haverhill, MA 01830-6008 | 2016-09-15 |
| 1386099299 | Vera Fernandes | Early Intervention Provider Agency | 191 Eugenia St, New Bedford, MA 02745-5232 | 2016-04-28 |
| 1699148320 | Emily Mann | Early Intervention Provider Agency | 3 Charity Ln, Dedham, MA 02026-2335 | 2015-11-03 |
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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.