Healthy Male Institute LLC

Primary specialty

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

Legal business name

HEALTHY MALE INSTITUTE LLC

Practice address

425 Pleasant St
Brockton, MA 02301-2533

Phone

(617) 694-7172

NPI assigned

Oct 15, 2018

Organization subpart

No

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

Authorized official

Name

Phernel Joseph Manigat, LICSWNPI 1679762447

Title

Owner and Founder

Phone

(617) 694-7172

Specialties & licenses 1

Addresses

Other names 1

• Healthy Male Institute Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 6

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

• Phernel Manigat

  • Social Worker
  • Brockton, MA
  • NPI 1679762447
  Medicare reassignment Authorized official
• Ernst Manigat, MD

  • Psychiatry Physician
  • Cambridge, MA
  • NPI 1386701688
  Medicare reassignment
• Samson Kernisant

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1154217222
  NPD (past)
• Frantzces Lys

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1255173944
  NPD (past)
• Harry Regis

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1548153042

  Multi-Specialty

  NPD (past)
• Marie H Saint Cyr, LCSW

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1649045444
  NPD (past)

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1144796491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SAWTELL AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021654",
            "telephone_number": "617-694-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012533",
            "telephone_number": "617-694-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MALE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "MANIGAT",
        "authorized_official_first_name": "PHERNEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER AND FOUNDER",
        "authorized_official_telephone_number": "617-694-7172",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Male Institute",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pamela Anne Healy, MED
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• Hearthstone at Heights Crossing Inc
• Alyssa Heath

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brockton, MA
• Providers in Brockton, MA by specialty
• 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 Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.