MR. CLINTON PAUL PINA III


Address: 503 Rockdale Ave, New Bedford, MA 02740-1460
Phone: 5089516732

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MA Residential Treatment Facilities

Office Location

Street Address 503 ROCKDALE AVE
City NEW BEDFORD
State MA
Zip Code 02740-1460

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1689294019 Jacqueline Maye Homemaker 167 North Street, New Bedford, MA 02740 2020-04-27
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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
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1538646617 Derek Baptiste Counselor 68 N. Front St, New Bedford, MA 02740 2018-07-23
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City NEW BEDFORD
Zip Code 02740

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Dataset Information

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.

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