DEPARTMENT OF MENTAL HEALTH (NPI# 1568580736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568580736 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF MENTAL HEALTH |
| Other Organization Name | BRIGHTON IRTP |
| Practice Address |
Brighton Irtp - Everett House 232 Centre St Dorchester Center MA 02124-2334 |
| Mailing Address |
25 Staniford St Boston MA 02114-2503 |
| Practice Telephone | 6178255703 |
| Mailing Telephone | 6176268040 |
| Mailing Fax Number | 6176268295 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL SCOPA (ASST DIRECTOR OF NON-INST REIMBURSE) |
| Authorized Official Telephone | 6178868089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1102958 | 05 |
| Other Name | Type Code |
|---|---|
| Brighton IRTP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1609217173 | Department of Mental Health | Case Management | 440 Bauchet Street, Los Angeles, CA 90012 | 2013-07-12 |
| 1790023554 | Department of Mental Health | Community/Behavioral Health | 42230 N. Lake Hughes Avenue, Lake Hughes, CA 93532 | 2013-01-29 |
| 1265770291 | Department of Mental Health | Student in an Organized Health Care Education/Training Program | 11303 West Washington Boulvard, Suite 200, Los Angeles, CA 90066 | 2013-01-25 |
| 1346556214 | Department of Mental Health | Community/Behavioral Health | 550 S. Vermont Street 6th Floor, Los Angeles, CA 90020-1912 | 2010-08-30 |
| 1093021420 | Department of Mental Health | Social Worker | 2668 E 58th St, Huntington Park, CA 90255-2608 | 2010-08-23 |
| 1134453236 | Department of Mental Health | Psychiatric Hospital | 21730 S. Vermont Avenue, Suite 210, Torrance, CA 90509 | 2009-09-23 |
| 1851548721 | Department of Mental Health | Psychiatric Unit | 4040 Adair St, Los Angeles, CA 90011-2902 | 2008-08-22 |
| 1154549921 | Department of Mental Health | Community/Behavioral Health | Western Mass Rho, 1 Prince St, Northampton, MA 01060 | 2007-04-24 |
| 1780802561 | Department of Mental Health | Case Management | 40 Institute Rd, Oaks B Bldg, Southbridge - Milford Cm, No Grafton, MA 01532 | 2007-04-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEPARTMENT OF MENTAL HEALTH | 768 Pleasant Valley Rd Ste 201, Placerville, CA 95667 |
| Street Address |
BRIGHTON IRTP - EVERETT HOUSE 232 CENTRE ST |
| City | DORCHESTER CENTER |
| State | MA |
| Zip Code | 02124-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
| 1952784506 | Justice Resource Institute | Community Based Residential Treatment Facility, Mental Illness | 262 Crescent St, Waltham, MA 02453-3417 | 2015-07-01 |
| 1639564214 | Northeast Behavioral Associates | Community Based Residential Treatment Facility, Mental Illness | 23 Dailey Rd, Brockton, MA 02302-2250 | 2015-04-01 |
| 1346641313 | Penikese Island School, Inc | Community Based Residential Treatment Facility, Mental Illness | 565 Woods Hole Rd, Woods Hole, MA 02543-1041 | 2014-09-10 |
| 1750780227 | Westbridge Inc | Community Based Residential Treatment Facility, Mental Illness | 275 Mystic Ave, Ste C, Medford, MA 02155-6301 | 2014-08-20 |
| 1780966606 | Walgreens | Community Based Residential Treatment Facility, Mental Illness | 113 Monument St, Medford, MA 02155-3538 | 2011-09-16 |
| 1851627988 | Hampden County Sherriff's Department | Community Based Residential Treatment Facility, Mental Illness | 701 Center St, Chicopee, MA 01013-1588 | 2009-10-24 |
| 1184958423 | Joseph D Reich | Community Based Residential Treatment Facility, Mental Illness | 475 State Rd, Plymouth, MA 02360-5185 | 2009-09-18 |
| 1922127349 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Westborough State Hospital Chauncy Hall, Lyman St Daniels 1, Westborough, MA 01581 | 2007-03-28 |
| 1083732168 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Boston University - Fuller Irtp, 85 E Newton St Fl 6, Boston, MA 02118-2340 | 2007-03-27 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER CENTER |
| Zip Code | 02124 |
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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.