South Bay Mental Health Center, Inc. in Brockton - Mental Health (including Community Mental Health Center)
South Bay Mental Health Center, Inc. - NPI 1023096864
South Bay Mental Health Center, Inc. is a Mental Health (including Community Mental Health Center) in Brockton, Massachusetts. South Bay Mental Health Center, Inc. practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for South Bay Mental Health Center, Inc. is 1023096864. The last update date is 2019-04-01.
South Bay Mental Health Center, Inc.'s current location address is 1115 West Chestnut Street, Brockton, Massachusetts. You can contact this provider via phone number 5085212200 and fax number 5085842227. The mailing address for South Bay Mental Health Center, Inc. is 1115 West Chestnut Street, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Bay Mental Health Center, Inc. |
|---|---|
| Address | 1115 West Chestnut Street, Brockton, Massachusetts |
| Phone Number | 5085212200 |
| Fax Number | 5085842227 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Hart J Sara |
| Credentials | LMHC |
| Telephone Number | 5083240328 |
NPI Number Detail
| NPI Number | 1023096864 |
|---|---|
| Provider Enumeration Date | 2006-01-03 |
| Last Updated Date | 2019-04-01 |
Provider Mailing Address Detail
| Address | 1115 West Chestnut Street |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 2301 |
| Phone Number | 5085212200 |
| Fax Number | 5085842227 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | 4222 |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1311964 | MA | -- | |
| 1309226 | MA | -- | |
| 1310003 | MA | -- | |
| 1311093 | MA | -- | |
| 1312472 | MA | -- | |
| 1309056 | MA | -- | |
| 1316478 | MA | -- | |
| 1309218 | MA | -- | |
| 1312065 | MA | -- | |
| 1309994 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to South Bay Mental Health Center, Inc. by the Centers for Medicare & Medicaid Services?
The South Bay Mental Health Center, Inc. has been issued the NPI (National Provider Identifier) 1023096864, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where South Bay Mental Health Center, Inc. is located?
The South Bay Mental Health Center, Inc. is situated at the following address: 1115 West Chestnut Street, Brockton, MA, 2301.
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 Mental Health (including Community Mental Health Center), and it falls under the taxonomy code 261Qm0801X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1023096864 to South Bay Mental Health Center, Inc.?
The South Bay Mental Health Center, Inc. received its 1023096864 assignment from the Centers for Medicare & Medicaid Services on 2006-01-03.
When was the information related to South Bay Mental Health Center, Inc. most recently updated or refreshed?
The details pertaining to the South Bay Mental Health Center, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2019-04-01.
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