SOUTH BAY MENTAL HEALTH CENTER, INC. (NPI# 1477631364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477631364 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH CENTER, INC. |
| Practice Address |
37 Belmont St Brockton MA 02301-5299 |
| Practice Telephone | 5085804691 |
| Mailing Telephone | 5085804691 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PETER SCANLON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5085590473 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4222 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LMHC | LMG048 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033294558 | South Bay Mental Health Center, Inc. | Clinic/Center | 1115 West Chestnut Street Suite 202, Brockton, MA 02301 | 2006-10-25 |
| 1023096864 | South Bay Mental Health Center, Inc. | Clinic/Center | 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 | 2006-01-03 |
| 1750703062 | South Bay Mental Health Center, Inc. | Early Intervention Provider Agency | 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 | 2014-01-07 |
| 1326376195 | South Bay Mental Health Center, Inc. | Community/Behavioral Health | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2009-12-05 |
| 1760560650 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-11-01 |
| 1679651566 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-11-01 |
| 1568540458 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-11-01 |
| 1497830905 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-10-25 |
| 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 |
37 BELMONT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-5299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881625309 | Peter J Scanlon | Psychologist | 37 Belmont St, South Bay, Brockton, MA 02301-5299 | 2006-07-05 |
| 1659766103 | Trauma To Wellness Inc. | Community/Behavioral Health | 37 Belmont St, 2nd Floor, Brockton, MA 02301-5299 | 2015-04-01 |
| 1619367026 | Adia Thomas | Social Worker | 37 Belmont St, Brockton, MA 02301-5299 | 2015-01-23 |
| 1063835734 | Abigail Andrus | Social Worker | 37 Belmont St, 2nd Floor, Brockton, MA 02301-5299 | 2014-01-30 |
| 1740537034 | Emily Ali | Student in an Organized Health Care Education/Training Program | 37 Belmont St, Brockton, MA 02301-5299 | 2012-08-06 |
| 1528322237 | Rachel Elaine Cuffe | Social Worker | 37 Belmont St, Brockton, MA 02301 | 2012-06-27 |
| 1770867798 | Lauren Annie Mazzola | Counselor | 37 Belmont St, #8, Brockton, MA 02301-5299 | 2011-10-10 |
| 1881975480 | Melissa E Le Blanc | Counselor | 37 Belmont St, Brockton, MA 02301-5299 | 2011-09-09 |
| 1609179258 | Desiree Brown | Student in an Organized Health Care Education/Training Program | 37 Belmont St, Brockton, MA 02301-5299 | 2010-12-20 |
| 1841590783 | Megan Meisner Cote | Social Worker | 37 Belmont St, South Bay Mental Health, Brockton, MA 02301-5299 | 2010-10-26 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881875870 | Healing Touch Massage Clinic | Clinic/Center | 348 N Pearl St, Brockton, MA 02301-1197 | 2007-11-18 |
| 1760560650 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-11-01 |
| 1679651566 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-11-01 |
| 1568540458 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-11-01 |
| 1497830905 | South Bay Mental Health Center, Inc. | Clinic/Center | 37 Belmont St, Brockton, MA 02301-5299 | 2006-10-25 |
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| 1649896283 | Community Health Center of Cape Cod, Inc. | Clinic/Center | 90 Route 6a, Sandwich, MA 02563-5301 | 2020-06-19 |
| 1194344713 | Snooze Laboratories, Inc | Clinic/Center | 122 Chestnut St Apt 101, Springfield, MA 01103-1541 | 2020-04-14 |
| 1861024457 | Treehouse Center for Sensory Integration | Clinic/Center | 19 Muzzey St # L20, Lexington, MA 02421-5256 | 2020-02-11 |
| 1982262184 | Nationwide Health Advocates LLC | Clinic/Center | 5 Pleasant St Ste 1, Methuen, MA 01844-3195 | 2019-06-03 |
| 1538622436 | Onduo Professionals of Texas, P.a. | Clinic/Center | 55 Chapel St Ste 200, Newton, MA 02458-1070 | 2019-04-09 |
| 1801357454 | Kelly Dumay Pogeyed Tuguinay | Clinic/Center | 2 Mcdewell Ave Apt 17, Danvers, MA 01923-3335 | 2019-03-27 |
| 1760949192 | Elizabeth Apkin Psyd LLC | Clinic/Center | 1577 Beacon St Ste D, Brookline, MA 02446-4602 | 2019-02-21 |
| 1578027975 | Chinne Health Systems LLC | Clinic/Center | 330 Lynnway Ste 112, Lynn, MA 01901-1706 | 2019-01-30 |
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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.