South Bay Mental Health
Early Intervention Provider Agency in Brockton, Massachusetts
1487944369- Practice location
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone
- 508-559-0473
- Fax
- 508-427-5361
- Last updated
- April 13, 2011
South Bay Mental Health is a healthcare organization based in Brockton, MA. South Bay Mental Health practices in Brockton, MA. The NPI Number for South Bay Mental Health is 1487944369 and holds a License No. 251934 (MA). The current practice location address for South Bay Mental Health is 1115 W Chestnut St, Brockton, MA 02301-7501 and can be reached out via phone at 508-559-0473 and via fax at 508-427-5361.
Provider Profile Details
- NPI Number
- 1487944369
- Provider Name
- South Bay Mental Health
- Provider Entity Type
- Organization
- Address
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone Number
- 508-559-0473
- Fax Number
- 508-427-5361
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Michelle Nunes Fonseca, RN · Nurse · 508-559-0473
- Other Names
- South Bay Early Intervention (Other Name)
- Provider Enumeration Date
- April 13, 2011
- Last Update Date
- April 13, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1115 W Chestnut St
Brockton, MA 02301-7501 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-7501
- Phone Number
- 508-559-0473
- Fax Number
- 508-427-5361
Provider Business Mailing Address Details
- Address
- 133 Centre Ave
Abington, MA 02351-2254 - City
- Abington
- State
- MA
- Zip
- 02351-2254
- Phone Number
- 508-380-3696
- Fax Number
- 508-427-5361
License Information
- License Number
- 251934
- License State
- MA
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of South Bay Mental Health?
The NPI number of South Bay Mental Health is 1487944369. It was assigned on April 13, 2011 and is currently active in the NPPES registry.
What is the specialty of South Bay Mental Health?
South Bay Mental Health is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X), licensed in MA under license number 251934.
Where does South Bay Mental Health practice?
The practice location is 1115 W Chestnut St, Brockton, MA 02301-7501. The office can be reached at 508-559-0473 (phone) or 508-427-5361 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487944369 directly on the NPPES registry website.