SOUTH BAY MENTAL HEALTH CENTER (NPI# 1508077496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508077496 |
Entity Type | Organization |
Organization Name | SOUTH BAY MENTAL HEALTH CENTER |
Practice Address |
332 Main St 30 Worcester MA 01608-1517 |
Mailing Address |
14 Mendon St Worcester MA 01604-4804 |
Practice Telephone | 5087523969 |
Practice Fax Number | 5087253967 |
Mailing Telephone | 5088470480 |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. ALYSSA MARIE JONIKAS (CASE MANAGER) |
Authorized Official Telephone | 5087523936 |
Authorized Official Credential | BA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251B00000X | Case Management | 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 |
1205180163 | South Bay Mental Health Center | Early Intervention Provider Agency | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2012-10-30 |
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 |
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 |
332 MAIN ST 30 |
City | WORCESTER |
State | MA |
Zip Code | 01608-1517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275801748 | Kimberly Marie Hueras | Social Worker | 332 Main St, Worcester, MA 01608-1517 | 2011-12-12 |
1255610408 | Kristin Ceppaluni | Counselor | 332 Main St, Suite 320, Worcester, MA 01608-1517 | 2011-08-05 |
1184947830 | Lenka Toma | Social Worker | 332 Main St, Worcester, MA 01608-1517 | 2010-03-09 |
1891024089 | Julie Anne Dileo | Counselor | 332 Main St, Suite 320, Worcester, MA 01608-1517 | 2009-12-17 |
1801037395 | Laura Gonzalez | Counselor | 332 Main St, Worcester, MA 01608-1517 | 2009-03-13 |
1043456031 | Danielle Ep Larsen | Counselor | 332 Main St, Worcester, MA 01608-1517 | 2008-12-23 |
1063665537 | Nikiwe Bilima-bugingo | Social Worker | 332 Main St, Suite 320, Worcester, MA 01608-1517 | 2008-10-28 |
1235323866 | Laina Catharine-marie Nixon | Counselor | 332 Main St, Suite 320, Worcester, MA 01608-1517 | 2007-08-27 |
1376754994 | Alyssa Marie Jonikas | Counselor | 332 Main St, Worcester, MA 01608-1517 | 2007-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
Find all providers in zip 01608 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356681886 | Massachusetts Minority Aids Partnership | Case Management | 121 Shrewsbury St, Worcester, MA 01604-4604 | 2013-02-20 |
1215207758 | The Green Wave Project, Inc. | Case Management | 8 Stark Rd, Worcester, MA 01602-4127 | 2011-12-30 |
1003039322 | Department of Developmental Services | Case Management | Worcester Cm, 40 Southbridge St #200, Worcester, MA 01608 | 2007-04-11 |
1962993758 | Seven Hills Family Services, Inc. | Case Management | 81 Hope Ave, Worcester, MA 01603-2212 | 2018-05-29 |
1720580822 | Latin American Health Alliance of Central Massachusetts, Inc. | Case Management | 27 Vernon St, Worcester, MA 01610-1919 | 2018-03-05 |
1316498116 | Ceibos Family Services | Case Management | 51 Union St, Suite 212, Worcester, MA 01608-1194 | 2016-10-18 |
1528518875 | Counseling & Assessment Clinic of Worcester, LLC | Case Management | 38 Front St, Worcester, MA 01608-1732 | 2016-10-11 |
1346604550 | Angels-net Foundation Inc | Case Management | 17 Mechanic St, Worcester, MA 01608-2402 | 2016-04-13 |
1568771004 | Elder Services of Worcester Area, Inc | Case Management | 411 Chandler St, Worcester, MA 01602-3339 | 2010-10-01 |
1508171133 | Matthew Warren Penniman | Case Management | 335 Chandler St, Worcester, MA 01602-3441 | 2010-08-06 |
Find all providers in WORCESTER |
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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.