Active NPI
South Bay Mental Health
- Preferred Provider Organization
- Fall River, MA
National Provider Identifier
1124376330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Legal business name
- SOUTH BAY MENTAL HEALTH
- Practice address
- 1563 N Main St
Ste 202
Fall River, MA 02720-2983 - Phone
- (774) 365-5999
- NPI assigned
- Aug 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Marie Claudette Delmas
- Title
- Clinical Social Worker
- Phone
- (774) 208-3330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Primary |
Addresses
Primary practice location
1563 N Main St
Ste 202
Fall River, MA 02720-2983
Mailing address
440 Court St
New Bedford, MA 02740-2573
Phone (774) 208-3330
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345161600000",
"number": "1124376330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 COURT ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027402573",
"telephone_number": "774-208-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 N MAIN ST",
"address_2": "STE 202",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202983",
"telephone_number": "774-365-5999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BAY MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-17",
"last_updated": "2012-08-17",
"status": "A",
"authorized_official_last_name": "DELMAS",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "CLAUDETTE",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "774-208-3330",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.