South Bay Mental Health Center, Inc. in Brockton - Clinic/center
South Bay Mental Health Center, Inc. - NPI 1679651566
South Bay Mental Health Center, Inc. is a Clinic/center in Brockton, Massachusetts. South Bay Mental Health Center, Inc. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for South Bay Mental Health Center, Inc. is 1679651566. The last update date is 2020-08-22.
South Bay Mental Health Center, Inc.'s current location address is 37 Belmont St, Brockton, Massachusetts. You can contact this provider via phone number 5085804691. The mailing address for South Bay Mental Health Center, Inc. is 37 Belmont St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Bay Mental Health Center, Inc. |
|---|---|
| Address | 37 Belmont St, Brockton, Massachusetts |
| Phone Number | 5085804691 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Scanlon Peter |
| Credentials | PHD |
| Telephone Number | 5085590473 |
NPI Number Detail
| NPI Number | 1679651566 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 37 Belmont St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23015299 |
| Phone Number | 5085804691 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 4222 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M18471 | MA | PSYCHIATRIST |
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What is the unique 10-digit identifier code issued to South Bay Mental Health Center, Inc. by the Centers for Medicare & Medicaid Services?
The South Bay Mental Health Center, Inc. has been assigned the NPI (National Provider Identifier) 1679651566 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the South Bay Mental Health Center, Inc. located?
The South Bay Mental Health Center, Inc. is located at 37 Belmont St, Brockton, MA 23015299.
What is the South Bay Mental Health Center, Inc.'s area of specialization and corresponding taxonomy classification?
The South Bay Mental Health Center, Inc.'s specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1679651566 to South Bay Mental Health Center, Inc.?
The South Bay Mental Health Center, Inc. received its 1679651566 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the South Bay Mental Health Center, Inc.'s information last updated?
The South Bay Mental Health Center, Inc.'s information was last updated on 2020-08-22.