CHILDRENS BEHAVIORAL HEALTH INITIATIVE (NPI# 1407235286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407235286 |
| Entity Type | Organization |
| Organization Name | CHILDRENS BEHAVIORAL HEALTH INITIATIVE |
| Practice Address |
20 Meadowbrook Rd Brockton MA 02301-7122 |
| Practice Telephone | 5086386000 |
| Mailing Telephone | 5086386000 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | MS. KIMBERLY FISHER (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5086386066 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1518996354 | MA | Agencies |
| Street Address |
20 MEADOWBROOK RD |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376555276 | Joseph Aaron Shrand | Psychiatry & Neurology | 20 Meadowbrook Rd, Castle, Brockton, MA 02301-7122 | 2006-08-12 |
| 1649886912 | Haley Anne Vradenburg | Student in an Organized Health Care Education/Training Program | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-09-21 |
| 1972003226 | Andrew William Mccall | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2018-02-13 |
| 1285146308 | Andy Derolus Edouard | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-10-30 |
| 1235651217 | Ashley Marie Potts | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-07-12 |
| 1568902435 | Ashley D'acci | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-02-27 |
| 1346782935 | Molly Benoit | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-11-14 |
| 1033651740 | Amanda Hoeg | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-11-11 |
| 1639622004 | Nell Woodworth | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-08-02 |
| 1588013304 | Bryan Urday | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| 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 |
|---|---|---|---|---|
| 1710501127 | Jco Group of Services | Community/Behavioral Health | 31 Dover St, Brockton, MA 02301-5938 | 2020-06-01 |
| 1639726433 | Trauma To Wellness Inc. | Community/Behavioral Health | 37 Belmont St Fl 2, Brockton, MA 02301-5289 | 2019-08-26 |
| 1891267068 | Marcilia Alves | Community/Behavioral Health | 206 Elliot St, Brockton, MA 02302-2314 | 2018-12-27 |
| 1073000121 | Sunrise Behavioral Health Services LLC | Community/Behavioral Health | 39 Country Club Ln, Brockton, MA 02301-7098 | 2018-04-15 |
| 1639690837 | Inclusion Family Counseling Center Inc | Community/Behavioral Health | 1 Centre St Ste 301, Brockton, MA 02301-4095 | 2017-06-28 |
| 1104202415 | New England Behavioral Health Services Inc | Community/Behavioral Health | 369 Court St, Brockton, MA 02302-4617 | 2015-08-10 |
| 1790189439 | Unlimited Behavioral Health Services of Massachusetts, LLC | Community/Behavioral Health | 348 North Pearl Street, Rm, Brockton, MA 02301-1197 | 2014-10-09 |
| 1174806152 | Mass Counseling Services Inc | Community/Behavioral Health | 155 Short St, Brockton, MA 02302-2662 | 2011-09-26 |
| 1134401615 | Rachel Westland | Community/Behavioral Health | 861 Court St, Brockton, MA 02302-2631 | 2011-09-12 |
| 1962636753 | Pyramid Builder Associates | Community/Behavioral Health | 480 Chatham West Dr, 480 Chatham West, Brockton, MA 02301-1322 | 2009-05-07 |
| Find all providers in BROCKTON | ||||
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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.