Active NPIOrganization

Westside Behavioral Health, LLC

Social Worker, Clinical in Brockton, Massachusetts

NPI Number1689720302
Practice location
7 Christy Drive, Suite 3, Brockton, MA 02301
Fax
508-580-4404
Last updated
April 20, 2008

Westside Behavioral Health, LLC is a healthcare organization based in Brockton, MA. Westside Behavioral Health, LLC practices in Brockton, MA. The NPI Number for Westside Behavioral Health, LLC is 1689720302 and holds a License No. 7330 (MA). The current practice location address for Westside Behavioral Health, LLC is 7 Christy Drive, Suite 3, Brockton, MA 02301 and can be reached out via phone at 508-580-4611 and via fax at 508-580-4404.

Provider Profile Details

NPI Number
1689720302
Provider Name
Westside Behavioral Health, LLC
Provider Entity Type
Organization
Address
7 Christy Drive, Suite 3, Brockton, MA 02301
Phone Number
508-580-4611
Fax Number
508-580-4404
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Michael Stephen Weiner, LICSW · Partener · 508-580-4611
Provider Enumeration Date
January 26, 2007
Last Update Date
April 20, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Christy Drive
Suite 3
Brockton, MA 02301
Zip
02301
Phone Number
508-580-4611
Fax Number
508-580-4404
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
7 Christy Drive
Suite 3
Brockton, MA 02301
City
Brockton
State
MA
Zip
02301
Phone Number
508-580-4611
Fax Number
508-580-4404

License Information

License Number (1)
7330
License State (1)
MA
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
8177
License State (2)
MA
Taxonomy (2)
Psychologist · 103T00000X
License Number (3)
104590
License State (3)
MA
Taxonomy (3)
Social Worker, Clinical · 1041C0700X
License Number (4)
110746
License State (4)
MA
Taxonomy (4)
Social Worker, Clinical · 1041C0700X
License Number (5)
1027200
License State (5)
MA
Taxonomy (5)
Social Worker, Clinical · 1041C0700X
License Number (6)
94523
License State (6)
MA
Taxonomy (6)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (7)
90943
License State (7)
MA
Taxonomy (7)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (8)
35081
License State (8)
MA
Taxonomy (8)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (9)
135140
License State (9)
MA
License Number (10)
105028
License State (10)
MA
Taxonomy (10)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Westside Behavioral Health, LLC?

The NPI number of Westside Behavioral Health, LLC is 1689720302. It was assigned on January 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Westside Behavioral Health, LLC?

Westside Behavioral Health, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 7330.

Where does Westside Behavioral Health, LLC practice?

The practice location is 7 Christy Drive, Suite 3, Brockton, MA 02301. The office can be reached at 508-580-4611 (phone) or 508-580-4404 (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 1689720302 directly on the NPPES registry website.

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