South Bay Mental Health Center, Inc. in Brockton - Adolescent And Children Mental Health
South Bay Mental Health Center, Inc. - NPI 1033294558
South Bay Mental Health Center, Inc. is a Adolescent And Children Mental Health in Brockton, Massachusetts. South Bay Mental Health Center, Inc. practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for South Bay Mental Health Center, Inc. is 1033294558. The last update date is 2019-04-01.
South Bay Mental Health Center, Inc.'s current location address is 1115 West Chestnut Street Suite 202, 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 Suite 202, 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 Suite 202, 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 | 1033294558 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2019-04-01 |
Provider Mailing Address Detail
| Address | 1115 West Chestnut Street Suite 202 |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 2301 |
| Phone Number | 5085212200 |
| Fax Number | 5085842227 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
| Licence No | 4222 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1803034 | MA | -- | |
| 1803395 | MA | -- | |
| 1803514 | MA | -- |
Post Comment/ Review Below
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) 1033294558 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where South Bay Mental Health Center, Inc. is physically located?
The South Bay Mental Health Center, Inc. is physically situated at the following address: 1115 West Chestnut Street Suite 202, Brockton, MA, 2301.
What is the area of specialization for South Bay Mental Health Center, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for South Bay Mental Health Center, Inc. is Adolescent And Children Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 261Qm0855X.
When was the South Bay Mental Health Center, Inc.'s 1033294558 issued?
The South Bay Mental Health Center, Inc.'s 1033294558 was issued on 2006-10-25.
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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