South Bay Mental Health Center, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

4222 Issued in MA

Legal business name

SOUTH BAY MENTAL HEALTH CENTER, INC.

Practice address

1115 West Chestnut Street
Suite 202
Brockton, MA 02301

Phone

(508) 521-2200

Fax

(508) 584-2227

NPI assigned

Jan 3, 2006

Organization subpart

No

Name

Sara J Hart, LMHC

Title

President/Coo

Phone

(508) 324-0328

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Marie Adams

  • Mental Health Counselor
  • Salem, MA
  • NPI 1326660267
  NPD
• Sandra Anderson, LICSW, LCSW

  • Clinical Social Worker
  • Salem, MA
  • NPI 1518632462
  NPD
• Ilyssa Marie Andino

  • Community/Behavioral Health Agency
  • Lowell, MA
  • NPI 1770128274
  NPD
• Christina S Arnold

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Leominster, MA
  • NPI 1285346528

  Mental Health (Including Community Mental Health Center)

  NPD
• Elizabeth Aube

  • Counselor
  • Wakefield, MA
  • NPI 1134611080
  NPD
• Ivana Aylwin

  • Mental Health Counselor
  • Dorchester, MA
  • NPI 1225572571
  NPD
• Taylor Marie Beecher

  • Developmental Therapist
  • Lowell, MA
  • NPI 1790464162
  NPD
• Andrea Beedle

  • Addiction (Substance Use Disorder) Counselor
  • Lowell, MA
  • NPI 1508419995
  NPD
• Nadia Therese Brandon, LICSW, LPN

  • Clinical Social Worker
  • Brookline, MA
  • NPI 1073124020
  NPD
• Firdous Bukhari

  • Mental Health Counselor
  • Woburn, MA
  • NPI 1518564244
  NPD
• Christina Marie Bullard, LMHC

  • Mental Health Counselor
  • Brockton, MA
  • NPI 1831627801
  NPD
• Molly Cahill

  • Mental Health Counselor
  • Lowell, MA
  • NPI 1992483713
  NPD

Locations

• South Bay Community Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2019.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1023096864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEST CHESTNUT STREET",
            "address_2": "SUITE 202",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-521-2200",
            "fax_number": "508-584-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEST CHESTNUT STREET",
            "address_2": "SUITE 202",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-521-2200",
            "fax_number": "508-584-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "508-324-0328",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MA",
            "license": "4222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311964",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309226",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1310003",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311093",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1312472",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309056",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316478",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309218",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1312065",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309994",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300423",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309137",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1310976",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309196",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1319779",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Community Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Bay Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Bay Mental Health
• South Bay Mental Health
• South Bay Mental Health
• South Bay Mental Health
• South Bay Mental Health
• South Bay Mental Health Center, Inc.
• South Bay Mental Health Center, Inc.
• South Bay Mental Health Center, Inc.
• South Bay Mental Health Center, Inc.
• South Bay Mental Health Center, Inc.

• All providers in Brockton, MA
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.