Basile Bazina, M.ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

142 Crescent St
Second Floor
Brockton, MA 02302-3104

Phone

(508) 941-0005

NPI assigned

Aug 12, 2012

Last updated

Aug 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344729600000",
    "number": "1093062754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2072",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023052072",
            "telephone_number": "774-826-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 CRESCENT ST",
            "address_2": "SECOND FLOOR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023104",
            "telephone_number": "508-941-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZINA",
        "first_name": "BASILE",
        "name_prefix": "Mr.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-12",
        "last_updated": "2012-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baypointe Nursing Home Inc (Baypointe Rehabilitation & Skilled Care Center)
• Baypointe Rehab Center, LLC
• Samantha Bayuk
• Paulina Bazile
• Roniphael Bazile
• Steven Bbuye, M.D
• Christopher John Bean
• Erica Beasley, BCBA, LABA
• Lindsey Beaulieu
• Sabrina Beauzile, DPT

• Mental Health Counselor in Brockton, MA
• Providers in Brockton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.