BROCKTON NEIGHBORHOOD HEALTH CENTER (NPI# 1497148407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497148407 |
| Entity Type | Organization |
| Organization Name | BROCKTON NEIGHBORHOOD HEALTH CENTER |
| Practice Address |
158 Pleasant Street Brockton MA 02301 |
| Practice Telephone | 5085596699 |
| Practice Fax Number | 5085595073 |
| Mailing Telephone | 5085596699 |
| Mailing Fax Number | 5085595073 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | MELVIN BENSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5085596699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
4896 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | M18107 | 01 |
| MA | MEDICARE PART A | 221830 | 01 |
| MA | 110028118/A | 05 | |
| MA | 000000021197 | 05 | |
| MA | NHP | 0006827 | 01 |
| MA | MEDICARE PART B | M20905 | 01 |
| MA | UNITED CARE | 0192330 | 01 |
| MA | 606260 | 606260 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942351010 | Brockton Neighborhood Health Center | Podiatrist | 231 Main St 3rd, Brockton, MA 02301 | 2007-01-16 |
| 1770634776 | Brockton Neighborhood Health Center | Health Maintenance Organization | 231 Main St Fl 3, Brockton, MA 02301-4342 | 2007-01-16 |
| 1548663875 | Brockton Neighborhood Health Center | Clinic/Center | 54 N Main St, Brockton, MA 02301 | 2014-10-01 |
| 1346391224 | Brockton Neighborhood Health Center | Health Maintenance Organization | 157 Main St, Brockton, MA 02301-4012 | 2007-01-16 |
| 1255482139 | Brockton Neighborhood Health Center | Clinic/Center | 157 Main St, Brockton, MA 02301-4012 | 2007-01-16 |
| 1225085319 | Brockton Neighborhood Health Center | Clinic/Center | 63 Main St, Brockton, MA 02301-4042 | 2006-05-27 |
| Street Address |
158 PLEASANT STREET |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548663875 | Brockton Neighborhood Health Center | Clinic/Center | 54 N Main St, Brockton, MA 02301 | 2014-10-01 |
| 1225085319 | Brockton Neighborhood Health Center | Clinic/Center | 63 Main St, Brockton, MA 02301-4042 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780183913 | Family Health Center of Worcester, Inc. | Clinic/Center | 420 Grafton St, Worcester, MA 01604-3802 | 2018-02-02 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1942663851 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 461 Walnut Ave, Jamaica Plain, MA 02130 | 2016-03-30 |
| 1053729426 | Community Health Connections, Inc. | Clinic/Center | 140 Arnhow Farm Road, Fitchburg, MA 01420-1369 | 2014-07-29 |
| 1689092595 | Lowell Community Health Center, Inc. | Clinic/Center | 101 Jackson St, Lowell, MA 01852-2103 | 2014-03-29 |
| 1912272899 | Community Health Programs, Inc | Clinic/Center | 19 Depot Street, Adams, MA 01220 | 2012-03-12 |
| 1225323777 | Family Health Center of Worcester, Inc. | Clinic/Center | 14 Richards St, Goddard Health Center, Worcester, MA 01603-2609 | 2011-06-13 |
| 1801181334 | Family Health Center of Worcester, Inc. | Clinic/Center | 140 Apricot St, Sullivan Middle Health Center, Worcester, MA 01603-1225 | 2011-06-13 |
| 1720373251 | Family Health Center of Worcester, Inc. | Clinic/Center | 299 Highland St, Doherty School Based Health Center, Worcester, MA 01602-2110 | 2011-06-13 |
| 1144514316 | Family Health Center of Worcester, Inc. | Clinic/Center | 15 Claremont St, School-based Health Center, Worcester, MA 01610-1436 | 2011-06-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BROCKTON NEIGHBORHOOD HEALTH CENTER.
| 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.