NORTHEAST BEHAVIORAL ASSOCIATES (NPI# 1639564214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639564214 |
| Entity Type | Organization |
| Organization Name | NORTHEAST BEHAVIORAL ASSOCIATES |
| Other Organization Name | NORTHEAST BEHAVIORAL ASSOCIATES |
| Practice Address |
23 Dailey Rd Brockton MA 02302-2250 |
| Practice Telephone | 7742401504 |
| Mailing Telephone | 7742401504 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |
| Authorized Official Name | JAYLA C HAMPTON (BEHAVIORAL MANAGEMENT THERAPIST) |
| Authorized Official Telephone | 7742401504 |
| Authorized Official Credential | M.ED |
| 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 |
| Other Name | Type Code |
|---|---|
| Northeast behavioral associates | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750833349 | Northeast Behavioral Associates | Community/Behavioral Health | 1 Driftwood Dr, Woburn, MA 01801-1269 | 2016-10-29 |
| 1790137461 | Northeast Behavioral Associates | Specialist | 2348 Post Road, Suite 107, Warwick, RI 02886-2271 | 2016-07-06 |
| 1104288505 | Northeast Behavioral Associates | Home Health | 285 Brainerd Street, South Hadley, MA 01075 | 2016-03-24 |
| 1831432822 | Northeast Behavioral Associates | In Home Supportive Care | 9 Summer Hill Rd, Medway, MA 02053-2143 | 2013-03-28 |
| 1144456773 | Northeast Behavioral Associates | Case Management | 2348 Post Rd, Suite 107, Warwick, RI 02886-2258 | 2009-06-10 |
| 1659382315 | Northeast Behavioral Associates | Psychologist | 744 Park Ave, Suite 6, Cranston, RI 02910-2150 | 2006-08-10 |
| 1669908869 | Northeast Behavioral Associates | Behavioral Analyst | 2348 Post Rd, Suite 107, Warwick, RI 02886-2258 | 2017-05-08 |
| 1003275108 | Northeast Behavioral Associates | In Home Supportive Care | 145 Faunce Corner Rd Ste K, North Dartmouth, MA 02747-1263 | 2016-02-17 |
| 1720397284 | Northeast Behavioral Associates | Behavioral Analyst | 2348 Post Rd Ste 107, Warwick, RI 02886-2271 | 2010-10-01 |
| 1427290170 | Northeast Behavioral Associates | Case Management | 744 Park Ave, Suite Number 6, Cranston, RI 02910-2150 | 2009-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | NORTHEAST BEHAVIORAL ASSOCIATES OF CONNECTICUT, INC. | 145-k Faunce Corner Road, North Dartmouth, MA 02760 |
| Street Address |
23 DAILEY RD |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| 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 |
|---|---|---|---|---|
| 1235620683 | Highppoint | Community Based Residential Treatment Facility, Mental Illness | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2018-05-22 |
| 1144768045 | Commonwealth of Massachusetts | Community Based Residential Treatment Facility, Mental Illness | 165 Quincy St, Brockton, MA 02302-2988 | 2017-02-10 |
| 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 |
| 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 |
| 1568580736 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Brighton Irtp - Everett House, 232 Centre St, Dorchester Center, MA 02124-2334 | 2007-03-27 |
| 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 | ||||
Please comment or provide details below to improve the information on NORTHEAST BEHAVIORAL ASSOCIATES.
| 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.