NPIMap

Organization Active NPI

Community Counseling of Bristol County, Inc.

Doing business as CCBC

  • Community/Behavioral Health Agency
  • Taunton, MA
National Provider Identifier
1184858508
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4167 Issued in MA
Legal business name
COMMUNITY COUNSELING OF BRISTOL COUNTY, INC.
Doing business as
CCBC
Practice address
19 Cedar St
Taunton, MA 02780-3301
Phone
(508) 823-5400
Fax
(508) 824-6604
NPI assigned
May 13, 2009
Last updated
Feb 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Philip Shea, MBANPI 1972626661
Title
President Ceo
Phone
(508) 977-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4167 MA Primary

Addresses

Primary practice location

19 Cedar St
Taunton, MA 02780-3301

Mailing address

1 Washington St
Taunton, MA 02780-3960
Phone (508) 823-5400

Other identifiers 1

IdentifierTypeStateIssuer
1307975MedicaidMA

Other names 1

  • CCBC Doing business as

National Provider Directory

National Provider Directory

Locations

19 Cedar St
Taunton, MA 02780
Phone (508) 583-6124

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1184858508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803960",
            "telephone_number": "508-823-5400",
            "fax_number": "508-824-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CEDAR ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803301",
            "telephone_number": "508-823-5400",
            "fax_number": "508-824-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING OF BRISTOL COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "508-977-8100",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "4167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1307975",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCBC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.