SOUTH SHORE CENTER FOR WELLNESS LTD (NPI# 1720221740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720221740 |
Entity Type | Organization |
Organization Name | SOUTH SHORE CENTER FOR WELLNESS LTD |
Other Organization Name | SOUTH SHORE BEHAVIORAL HEALTH CLINIC |
Practice Address |
200 Cordwainer Dr Suite 200 Norwell MA 02061-1671 |
Practice Telephone | 7818788340 |
Mailing Telephone | 7818788340 |
Enumeration Date | 2009-04-07 |
Last Update Date | 2018-07-25 |
Authorized Official Name | MR. KENNETH MJ ROOD (CLINICAL DIRECTOR) |
Authorized Official Telephone | 6179098019 |
Authorized Official Credential | LMHC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
South Shore Behavioral Health Clinic | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
222 Webster St, Hanover, MA 023391209 | 7818788340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558697573 | South Shore Center for Wellness Ltd | Speech-Language Pathologist | 222 Webster St, Hanover, MA 02339-1262 | 2009-10-27 |
Street Address |
200 CORDWAINER DR SUITE 200 |
City | NORWELL |
State | MA |
Zip Code | 02061-1671 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629164892 | Lawrence F. Berley | Psychiatry & Neurology | 200 Cordwainer Dr, Suite 202, Norwell, MA 02061-1671 | 2006-10-05 |
1194323113 | Jessica Mcdowall | Counselor | 200 Cordwainer Dr, Norwell, MA 02061-1671 | 2020-10-12 |
1912510892 | Brittany Iyer | Student in an Organized Health Care Education/Training Program | 200 Cordwainer Dr, Norwell, MA 02061-1671 | 2020-08-28 |
1679184493 | Gabriela Dulce Cote-cohen | Social Worker | 200 Cordwainer Dr, Norwell, MA 02061-1671 | 2020-08-14 |
1528676681 | Kira Lian Salhaney | Social Worker | 200 Cordwainer Dr, Norwell, MA 02061-1671 | 2020-07-15 |
1477022218 | Kristen Rotondo | Counselor | 200 Cordwainer Dr, Norwell, MA 02061-1671 | 2018-11-22 |
1477022200 | Brianna Columbus | Counselor | 200 Cordwainer Dr, Norwell, MA 02061-1671 | 2018-11-22 |
1740759570 | Gina Fowler | Counselor | 200 Cordwainer Dr, Norwell, MA 02061-1671 | 2018-11-22 |
1104395946 | Stephanie Badio | Counselor | 200 Cordwainer Dr, Norwell, MA 02061-1671 | 2018-11-22 |
1659828754 | John Esposito | Counselor | 200 Cordwainer Dr, Suite 200, Norwell, MA 02061-1671 | 2016-09-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427542562 | Tidal Mental Health | Clinic/Center | 80 Washington St Ste C17, Norwell, MA 02061-1729 | 2018-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497356513 | Betterment Counseling | Clinic/Center | 556 Centre St Ste A, Middleboro, MA 02346-2162 | 2020-11-04 |
1962001651 | Mindful Matters LLC | Clinic/Center | 12 Jarvis Ln, North Attleboro, MA 02760-4313 | 2020-10-22 |
1497353130 | Handel Behavioral Health Services | Clinic/Center | 2 Master Dr Ste 1a, Franklin, MA 02038-3052 | 2020-10-14 |
1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
1710597406 | Bridge of Changes | Clinic/Center | 215 Berkshire Ave, Springfield, MA 01109-1638 | 2020-08-06 |
1457969297 | Starlight Counseling Services, Inc | Clinic/Center | 50 Elm St Unit D, Southbridge, MA 01550-2648 | 2020-07-17 |
1386262053 | 1a Wellness, LLC | Clinic/Center | 225 Main St Ste 4, Wenham, MA 01984-1459 | 2020-07-09 |
1528683596 | Aviv, LLC | Clinic/Center | 511 Old Fall River Rd, Dartmouth, MA 02747-1208 | 2020-06-15 |
1447872130 | Mindset Social Solutions Inc. | Clinic/Center | 79 Regis Rd Apt 1, Mattapan, MA 02126-1743 | 2020-05-15 |
1992325914 | Al Counseling | Clinic/Center | 300 Baker Ave Ste 300, Concord, MA 01742-2124 | 2020-04-20 |
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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.