South Shore Mental Health, INC.
Clinic/Center, Developmental Disabilities in Squantum, Massachusetts
1639572779- Practice location
- 2 Moon Island RD, Squantum, MA 02171-1034
- Phone
- 617-847-1950
- Fax
- 617-786-9894
- Last updated
- June 11, 2026
South Shore Mental Health, INC. is a healthcare organization based in Squantum, MA. South Shore Mental Health, INC. practices in Squantum, MA. The NPI Number for South Shore Mental Health, INC. is 1639572779 and holds a License No. 459 (MA). The current practice location address for South Shore Mental Health, INC. is 2 Moon Island RD, Squantum, MA 02171-1034 and can be reached out via phone at 617-847-1950 and via fax at 617-786-9894.
Provider Profile Details
- NPI Number
- 1639572779
- Provider Name
- South Shore Mental Health, INC.
- Provider Entity Type
- Organization
- Address
- 2 Moon Island RD, Squantum, MA 02171-1034
- Phone Number
- 617-847-1950
- Fax Number
- 617-786-9894
- Primary Taxonomy
- Clinic/Center, Developmental Disabilities · 261QD1600X
- Organization Subpart
- No
- Authorized Official
- Scott Borgeson · Director Of Patient Accounts · 617-847-1994
- Other Names
- Aspire Health And Community Services (Doing Business As)
Step One Early Intervention (Doing Business As) - Provider Enumeration Date
- October 3, 2014
- Last Update Date
- June 11, 2026
- Certification Date
- June 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Moon Island RD
Squantum, MA 02171-1034 - City
- Squantum
- State
- Massachusetts
- Zip
- 02171-1034
- Phone Number
- 617-847-1950
- Fax Number
- 617-786-9894
Provider Business Mailing Address Details
- Address
- 1501 Washington St
Braintree, MA 02184-7599 - City
- Braintree
- State
- MA
- Zip
- 02184-7599
- Phone Number
- 617-847-1950
- Fax Number
- 617-786-9894
License Information
- License Number
- 459
- License State
- MA
- Taxonomy
- Clinic/Center, Developmental Disabilities · 261QD1600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Developmental Disabilities providers near Squantum, MA
View all Clinic/Center, Developmental Disabilities providers in Squantum →Frequently Asked Questions
What is the NPI number of South Shore Mental Health, INC.?
The NPI number of South Shore Mental Health, INC. is 1639572779. It was assigned on October 3, 2014 and is currently active in the NPPES registry.
What is the specialty of South Shore Mental Health, INC.?
South Shore Mental Health, INC. is registered under the primary taxonomy Clinic/Center, Developmental Disabilities (code 261QD1600X), licensed in MA under license number 459.
Where does South Shore Mental Health, INC. practice?
The practice location is 2 Moon Island RD, Squantum, MA 02171-1034. The office can be reached at 617-847-1950 (phone) or 617-786-9894 (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 1639572779 directly on the NPPES registry website.