NPIMap

Organization Active NPI

South Shore Mental Health, Inc.

Doing business as Aspire Health Alliance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Quincy, MA
National Provider Identifier
1124737382
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTH SHORE MENTAL HEALTH, INC.
Doing business as
Aspire Health Alliance
Practice address
460 Quincy Ave
Quincy, MA 02169-8130
Phone
(617) 847-1950
Fax
(617) 786-9894
NPI assigned
Nov 16, 2022
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH SHORE MENTAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Scott Borgeson
Title
Director of Patient Accounts
Phone
(617) 847-1994

Specialties & licenses 1

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

Addresses

Primary practice location

460 Quincy Ave
Quincy, MA 02169-8130

Mailing address

1501 Washington St
Braintree, MA 02184-7599
Phone (617) 847-1950

Other identifiers 1

IdentifierTypeStateIssuer
110026069MedicaidMA

Other names 1

  • Aspire Health Alliance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Shore Men HLTH CT11 organizations share this tax ID, including this one
Part of
South Shore Men HLTH CT

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 Victory Rd
Quincy, MA 02171
Phone (617) 774-1040

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1124737382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WASHINGTON ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847599",
            "telephone_number": "617-847-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 QUINCY AVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021698130",
            "telephone_number": "617-847-1950",
            "fax_number": "617-786-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE MENTAL HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH SHORE MENTAL HEALTH, INC.",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "BORGESON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "617-847-1994"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026069",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Health Alliance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspire Health Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.