NPIMap

Organization Active NPI

South Bay Mental Health Center, Inc.

Doing business as South Bay Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
National Provider Identifier
1023096864
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
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.
Doing business as
South Bay Community Services
Practice address
1115 West Chestnut Street
Suite 202
Brockton, MA 02301
Phone
(508) 521-2200
Fax
(508) 584-2227
NPI assigned
Jan 3, 2006
Last updated
Apr 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara J Hart, LMHC
Title
President/Coo
Phone
(508) 324-0328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 4222 MA Primary

Addresses

Primary practice location

1115 West Chestnut Street
Suite 202
Brockton, MA 02301

Mailing address

1115 West Chestnut Street
Suite 202
Brockton, MA 02301
Phone (508) 521-2200

Other names 1

  • South Bay Community Services Doing business as

National Provider Directory

National Provider Directory

Locations

607 Pleasant St
Ste 115
Attleboro, MA 02703
Phone (508) 223-4691

37 Belmont St
#2
Brockton, MA 02301

56 Cherry St
#3
Brockton, MA 02301
Phone (508) 521-1020

70 Everett Ave
Ste 515
Chelsea, MA 02150
Phone (617) 466-6650

15 Union St
#2
Lawrence, MA 01840

360 Merrimack St
Ste 120
Lawrence, MA 01843
Phone (774) 313-0149

22 Pleasant St
Ste 2000
Malden, MA 02148
Phone (781) 851-2648

61 Eagle St
Pittsfield, MA 01201
Phone (413) 418-2300

50 Aldrin Rd
Plymouth, MA 02360
Phone (508) 830-0004

61 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 746-8977

50 Long Pond Dr
South Yarmouth, MA 02664
Phone (508) 398-5277

37 Water St
Ste 1
Wakefield, MA 01880
Phone (781) 223-8042

324 Clark St
Fl 2
Worcester, MA 01606
Phone (508) 752-3969

340 Main St
Ste 383
Worcester, MA 01608
Phone (508) 368-4210

340 Main St
Ste 818
Worcester, MA 01608
Phone (508) 752-3969

340 Main St
Ste 819
Worcester, MA 01608
Phone (508) 752-3968

67 Millbrook St
Ste 504
Worcester, MA 01606

Practitioners & affiliated clinicians

Practitioners 593

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 593

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "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"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • 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.