SOUTH BAY MENTAL HEALTH CENTER (NPI# 1871720441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871720441 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH CENTER |
| Practice Address |
541 Main St Weymouth MA 02190-1868 |
| Mailing Address |
14 Marion St Apt. 42 Brookline MA 02446-4428 |
| Practice Telephone | 7813317866 |
| Mailing Telephone | 6178723442 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |
| Authorized Official Name | MS. MONICA BERRY (SUPERVISOR) |
| Authorized Official Telephone | 7813317866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780025189 | South Bay Mental Health Center | Health Maintenance Organization | 15 S Point Dr, Apartment 605, Boston, MA 02125-3564 | 2013-07-13 |
| 1992068217 | South Bay Mental Health Center | Behavioral Analyst | 20 Artemis Rd, Salem, NH 03079-5603 | 2012-06-21 |
| 1225441256 | South Bay Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 140 High St, Springfield, MA 01199-1006 | 2014-06-06 |
| 1023436052 | South Bay Mental Health Center | Community/Behavioral Health | 140 High St, Suite 230, Springfield, MA 01105-1442 | 2014-04-07 |
| 1205180163 | South Bay Mental Health Center | Early Intervention Provider Agency | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2012-10-30 |
| 1790092088 | South Bay Mental Health Center | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2010-09-08 |
| 1205082690 | South Bay Mental Health Center | Community/Behavioral Health | 1563 N Main St, Fall River, MA 02720-2983 | 2008-08-18 |
| 1508077496 | South Bay Mental Health Center | Case Management | 332 Main St, 30, Worcester, MA 01608-1517 | 2007-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTH BAY MENTAL HEALTH CENTER, INC. | 1115 West Chestnut Street, Brockton, MA 02301 |
| Connecticut Business Registrations | SOUTH BAY MENTAL HEALTH CENTER, INC. | 1115 West Chestnut St, Brockton, MA 02301 |
| Street Address |
541 MAIN ST |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02190-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137743 | Kayla Elizabeth Wilson | Student in an Organized Health Care Education/Training Program | 541 Main St, Weymouth, MA 02190-1868 | 2020-03-02 |
| 1285156364 | Mairead Rose Convey | Counselor | 541 Main St, Weymouth, MA 02190-1868 | 2017-07-11 |
| 1437671641 | Cailin Marie Shanahan | Audiologist | 541 Main St, Weymouth, MA 02190-1868 | 2017-07-10 |
| 1144741919 | Holly Gail Hughes | Social Worker | 541 Main St, Weymouth, MA 02190-1868 | 2017-07-03 |
| 1164970125 | Michaela Volpe | Counselor | 541 Main St, Suite 303, Stetson Building, Weymouth, MA 02190-1868 | 2016-09-19 |
| 1689122392 | David William Klun Jr. | Counselor | 541 Main St, Stetson Building, Suite 303, Weymouth, MA 02190-1868 | 2016-09-12 |
| 1710434667 | William Jamara | Counselor | 541 Main St, Suite 303, Stetson Building, Weymouth, MA 02190-1868 | 2016-09-08 |
| 1124575576 | Susan Solimini | Counselor | 541 Main St, Suite 303, Weymouth, MA 02190-1868 | 2016-09-01 |
| 1295188936 | Kristin Nicole Carey | Physical Therapist | 541 Main St, Suite 316, Weymouth, MA 02190-1868 | 2016-07-18 |
| 1427412618 | Margaret Higgins | Counselor | 541 Main St, Weymouth, MA 02190-1868 | 2016-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536030 | Mahesh Balan | Community/Behavioral Health | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2018-01-26 |
| 1427318450 | South Bay Mental Health | Community/Behavioral Health | 541 Main St, Weymouth, MA 02190-1868 | 2012-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132458 | Autism Behavioral & Therapeutic Services | Community/Behavioral Health | 5 Bedford Ave, Worcester, MA 01604-4707 | 2020-10-20 |
| 1508463811 | Clear Minded Care, Pllc | Community/Behavioral Health | 519 Somerville Ave # 291, Somerville, MA 02143-3347 | 2020-10-08 |
| 1316544455 | Barbara J Doyle Counseling Services Professional LLC | Community/Behavioral Health | 20 Hope Ave Ste 107, Waltham, MA 02453-2717 | 2020-10-01 |
| 1013524917 | Leonid G Zolotnitskiy Md PC | Community/Behavioral Health | 1853 Commonwealth Ave Ste 1, Brighton, MA 02135-5498 | 2020-09-25 |
| 1811502966 | R.e.s.t. Counseling Services, LLC | Community/Behavioral Health | 36 Tirrell St # 1, Worcester, MA 01603-2617 | 2020-09-14 |
| 1972118719 | Jose Alfredo Lugo-estrada | Community/Behavioral Health | 484 Bedford St Unit 2, East Bridgewater, MA 02333-1908 | 2020-09-09 |
| 1992318927 | Jessie Odegard Pllc | Community/Behavioral Health | 144 Sudbury Rd, Weston, MA 02493-1351 | 2020-08-28 |
| 1750994109 | Summit Community Services, LLC | Community/Behavioral Health | 214 Exchange St, Millis, MA 02054-1277 | 2020-08-26 |
| 1013527860 | Tara Goldberg | Community/Behavioral Health | 21 Wilson Ave, Northampton, MA 01060-3813 | 2020-08-06 |
| 1619587490 | Maat Therapeutic Solutions Inc. | Community/Behavioral Health | 1773 Dorchester Ave Ste 3, Boston, MA 02124-2556 | 2020-08-05 |
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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.