South Bay Mental Health
Exclusive Provider Organization in Brockton, Massachusetts
1588093108- Practice location
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone
- 508-580-4691
- Fax
- —
- Last updated
- November 4, 2013
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 1588093108. 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 508-580-4691.
Provider Profile Details
- NPI Number
- 1588093108
- Provider Name
- South Bay Mental Health
- Provider Entity Type
- Organization
- Address
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone Number
- 508-580-4691
- Primary Taxonomy
- Exclusive Provider Organization · 302F00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Shawntae Nicole Grace · Intake Liason · 508-863-1584
- Provider Enumeration Date
- November 4, 2013
- Last Update Date
- November 4, 2013
- 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
- 508-580-4691
Provider Business Mailing Address Details
- Address
- 1115 W Chestnut St
Brockton, MA 02301-7501 - City
- Brockton
- State
- MA
- Zip
- 02301-7501
- Phone Number
- 508-580-4691
License Information
- Taxonomy
- Exclusive Provider Organization · 302F00000X · 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 1588093108. It was assigned on November 4, 2013 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 Exclusive Provider Organization (code 302F00000X).
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 508-580-4691 (phone).
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 1588093108 directly on the NPPES registry website.