MR. CLINTON PAUL PINA III (NPI# 1649546300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649546300 |
Entity Type | Individual |
Full Name | MR. CLINTON PAUL PINA III |
Practice Address |
503 Rockdale Ave New Bedford MA 02740-1460 |
Practice Telephone | 5089516732 |
Mailing Telephone | 5089516732 |
Enumeration Date | 2012-03-28 |
Last Update Date | 2012-03-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MA | Residential Treatment Facilities |
Street Address |
503 ROCKDALE AVE |
City | NEW BEDFORD |
State | MA |
Zip Code | 02740-1460 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689294019 | Jacqueline Maye | Homemaker | 167 North Street, New Bedford, MA 02740 | 2020-04-27 |
1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
1285282285 | Michelle Marie Montella | Counselor | 5 Dover St., New Bedford, MA 02740 | 2019-09-03 |
1891349460 | Carla E Fernandes | Counselor | 89 Pleasant Street, Apt 2, New Bedford, MA 02740 | 2019-07-31 |
1881156446 | Rachael Nylin | Health Educator | 128 Union St, Ste 204, New Bedford, MA 02740 | 2019-04-03 |
1194207563 | Wendy Anne Pacheco | Social Worker | 179 William Street, New Bedford, MA 02740 | 2018-09-03 |
1972085306 | Clear Coast Dental Pllc | Dentist | 906 Hathaway Road, New Bedford, MA 02740 | 2018-09-01 |
1538646617 | Derek Baptiste | Counselor | 68 N. Front St, New Bedford, MA 02740 | 2018-07-23 |
1316439227 | Savanna Alexandrea Jones | Social Worker | 543 North St., New Bedford, MA 02740 | 2018-06-06 |
1265940860 | My Dental New Bedford | Clinic/Center | 770 Purchase St, New Bedford, MA 02740 | 2018-01-17 |
Find all providers in zip 02740 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578128815 | Latham Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1646 Main St, Brewster, MA 02631-1716 | 2019-05-02 |
1104397488 | Hillcrest Educational Centers Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5 Ramsdell Rd, Great Barrington, MA 01230-1147 | 2018-12-11 |
1851717458 | Hopewell Inc | Residential Treatment Facility, Emotionally Disturbed Children | 141 Low St, Newburyport, MA 01950-3539 | 2014-03-07 |
1740601400 | Northeast Center for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 201 East St, Easthampton, MA 01027-1234 | 2013-12-26 |
1033547500 | The Home for Little Wanderers | Residential Treatment Facility, Emotionally Disturbed Children | 910 Ship Pond Rd, Plymouth, MA 02360-1849 | 2013-10-21 |
1922267335 | Eagleton School Inc | Residential Treatment Facility, Emotionally Disturbed Children | 446 Monterey Road, Great Barrington, MA 01230 | 2008-06-02 |
1104027499 | Valleyhead, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 79 Reservoir Rd, Lenox, MA 01240-2008 | 2007-05-31 |
1295944353 | Protestant Guild for Human Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 411waverly Oaks Rd, Suite 104, Waltham, MA 02452-8468 | 2007-05-22 |
1144439977 | Robert F. Kennedy Children's Action Corps, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 220 Old Common Rd, Lancaster, MA 01523-2208 | 2007-05-21 |
1558486134 | Nfi Massachusetts, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 34 Berry Rd, Lowell, MA 01854-1402 | 2007-03-20 |
Find all providers with the same taxonomy |
City | NEW BEDFORD |
Zip Code | 02740 |
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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.