THE COMMONWEALTH OF MASSACHUSETTS (NPI# 1326155458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326155458 |
| Entity Type | Organization |
| Organization Name | THE COMMONWEALTH OF MASSACHUSETTS |
| Other Organization Name | BROCKTON MULTI SERVICE CENTER |
| Practice Address |
165 Quincy St Brockton MA 02302-2988 |
| Practice Telephone | 5088972069 |
| Mailing Telephone | 5088972069 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | RICHARD JOBIN (CENTER DIRECTOR) |
| Authorized Official Telephone | 5088972069 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1305565 | 05 | |
| PK | 2155167 | 01 |
| Other Name | Type Code |
|---|---|
| Brockton Multi Service center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407884059 | The Commonwealth of Massachusetts | Psychiatric Hospital | 460 Quincy Ave, Quincy, MA 02169-8130 | 2006-06-30 |
| 1881231181 | The Commonwealth of Massachusetts | Public Health or Welfare | 305 South Street, Jamaica Plain, MA 02130-3515 | 2019-12-05 |
| 1730656760 | The Commonwealth of Massachusetts | Psychiatric Hospital | 309 Belmont St, Worcester, MA 01604-1059 | 2018-10-29 |
| 1750868600 | The Commonwealth of Massachusetts | Public Health or Welfare | 600 Washington St, Boston, MA 02111-1704 | 2018-07-24 |
| 1346369691 | The Commonwealth of Massachusetts | Case Management | 181 North St, Hyannis, MA 02601-3846 | 2007-03-28 |
| 1568587913 | The Commonwealth of Massachusetts | Clinic/Center | 20 Vining St, Boston, MA 02115-6115 | 2007-03-21 |
| 1073638805 | The Commonwealth of Massachusetts | Clinic/Center | 180 Morton St, Jamaica Plain, MA 02130-3735 | 2007-03-20 |
| 1285759464 | The Commonwealth of Massachusetts | Psychiatric Unit | 85 E Newton St, Boston, MA 02118-2340 | 2007-03-20 |
| 1093856965 | The Commonwealth of Massachusetts | Public Health or Welfare | 305 South Street, Massachusetts Department of Public Health-immunization, Jamaica Plain, MA 02130 | 2007-02-12 |
| 1275680456 | The Commonwealth of Massachusetts | Psychologist | 309 Belmont St, Worcester, MA 01604-1695 | 2007-01-03 |
| Street Address |
165 QUINCY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1255879425 | Melissa Cuthill | Licensed Practical Nurse | 165 Quincy St, Brockton, MA 02302-2988 | 2017-02-07 |
| Find all providers in the same location | ||||
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023096864 | South Bay Mental Health Center, Inc. | Clinic/Center | 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 | 2006-01-03 |
| 1518526615 | Maureen Pontes | Clinic/Center | 56 Cherry St, Brockton, MA 02301-2608 | 2019-06-12 |
| 1144796491 | Healthy Male Institute | Clinic/Center | 425 Pleasant St, Brockton, MA 02301-2533 | 2018-10-15 |
| 1205316346 | Creativity Works Inc | Clinic/Center | 209 Quincy St, Brockton, MA 02302-2926 | 2018-08-17 |
| 1386923720 | Bay State Counseling Services, Inc. | Clinic/Center | 1717 Main St, R, Brockton, MA 02301-7134 | 2011-08-16 |
| 1043441611 | Commonwealth of Ma, D/b/a Brockton Multi-service Center | Clinic/Center | 165 Quincy St, Brockton, MA 02302-2988 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356513 | Betterment Counseling | Clinic/Center | 556 Centre St Ste A, Middleboro, MA 02346-2162 | 2020-11-04 |
| 1962001651 | Mindful Matters LLC | Clinic/Center | 12 Jarvis Ln, North Attleboro, MA 02760-4313 | 2020-10-22 |
| 1497353130 | Handel Behavioral Health Services | Clinic/Center | 2 Master Dr Ste 1a, Franklin, MA 02038-3052 | 2020-10-14 |
| 1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
| 1710597406 | Bridge of Changes | Clinic/Center | 215 Berkshire Ave, Springfield, MA 01109-1638 | 2020-08-06 |
| 1457969297 | Starlight Counseling Services, Inc | Clinic/Center | 50 Elm St Unit D, Southbridge, MA 01550-2648 | 2020-07-17 |
| 1386262053 | 1a Wellness, LLC | Clinic/Center | 225 Main St Ste 4, Wenham, MA 01984-1459 | 2020-07-09 |
| 1528683596 | Aviv, LLC | Clinic/Center | 511 Old Fall River Rd, Dartmouth, MA 02747-1208 | 2020-06-15 |
| 1447872130 | Mindset Social Solutions Inc. | Clinic/Center | 79 Regis Rd Apt 1, Mattapan, MA 02126-1743 | 2020-05-15 |
| 1992325914 | Al Counseling | Clinic/Center | 300 Baker Ave Ste 300, Concord, MA 01742-2124 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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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.