SOUTH BAY MENTAL HEALTH (NPI# 1912324369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912324369 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY MENTAL HEALTH |
| Practice Address |
49a Farrar Ave Apt Il Worcester MA 01604-3272 |
| Practice Telephone | 7742288808 |
| Mailing Telephone | 7742288808 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Authorized Official Name | MR. GABRIEL NII LAMPTEY (TREATMNET COORDINATOR) |
| Authorized Official Telephone | 7742288808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649637166 | South Bay Mental Health | Community/Behavioral Health | 32 Park St Fl 3, Adams, MA 01220-2085 | 2016-01-28 |
| 1710350913 | South Bay Mental Health | Counselor | 670 Route 6a, East Sandwich, MA 02537-1436 | 2015-11-10 |
| 1114309234 | South Bay Mental Health | Community/Behavioral Health | 38 Atwood Avenue, Middleboro, MA 02346 | 2015-06-25 |
| 1245634831 | South Bay Mental Health | Case Management | 62 Evergreen St, Kingston, MA 02364-1426 | 2014-10-10 |
| 1659786333 | South Bay Mental Health | Case Management | 2045 Commonwealth Ave, Apt #4, Brighton, MA 02135-5174 | 2014-06-21 |
| 1558706598 | South Bay Mental Health | Clinic/Center | 80 Old Stone Way Apt 309, East Weymouth, MA 02189-2539 | 2013-05-03 |
| 1770841777 | South Bay Mental Health | Exclusive Provider Organization | 26 Pinnacle St, Hooksett, NH 03106-1535 | 2012-04-26 |
| 1720371743 | South Bay Mental Health | Early Intervention Provider Agency | 1563 N Main St. # 202, Fall River, MA 02720 | 2011-05-24 |
| 1548644370 | South Bay Mental Health | Community/Behavioral Health | 181 Union St, Suite J, Lynn, MA 01901-1311 | 2015-07-10 |
| 1659751618 | South Bay Mental Health | Social Worker | 140 High St, Suite 230, Springfield, MA 01105-1442 | 2015-06-04 |
| 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 |
49A FARRAR AVE APT IL |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604-3272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
| 1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
| 1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
| 1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
| Find all providers in zip 01604 | ||||
| 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 |
|---|---|---|---|---|
| 1275132458 | Autism Behavioral & Therapeutic Services | Community/Behavioral Health | 5 Bedford Ave, Worcester, MA 01604-4707 | 2020-10-20 |
| 1811502966 | R.e.s.t. Counseling Services, LLC | Community/Behavioral Health | 36 Tirrell St # 1, Worcester, MA 01603-2617 | 2020-09-14 |
| 1841820313 | On Watch Counseling Services | Community/Behavioral Health | 316 Plantation St, Worcester, MA 01604-1745 | 2020-01-23 |
| 1194389304 | Autism Therapy & Training Services | Community/Behavioral Health | 1 Longwood Ave, Worcester, MA 01606-3416 | 2019-04-24 |
| 1265909360 | Autism Health Services LLC | Community/Behavioral Health | 5 Nathaniel St, Worcester, MA 01604-1524 | 2018-10-26 |
| 1144733056 | Tamami Amara Okano | Community/Behavioral Health | 500 Massasoit Rd # 2, Worcester, MA 01604-3548 | 2017-11-14 |
| 1346794831 | Abiworcester, LLC | Community/Behavioral Health | 133 Puritan Ave, Worcester, MA 01604-3230 | 2016-08-12 |
| 1730553124 | H.r.i. Clinics Inc - (worcester Location) | Community/Behavioral Health | 411 Chandler St., Arbour Counseling Services Partial Hospital Lization Pr, Worcester, MA 01602 | 2015-11-23 |
| 1811389901 | Autism Intervention Center | Community/Behavioral Health | 2 Naumaan Ln, Worcester, MA 01606-1274 | 2015-02-26 |
| 1851780316 | Families Together LLC | Community/Behavioral Health | 120 Chandler St # 2l, Worcester, MA 01609-2923 | 2015-01-21 |
| Find all providers in WORCESTER | ||||
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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.