Active NPI
South Bay Mental Health Center
- Early Intervention Provider Agency
- Swansea, MA
National Provider Identifier
1205180163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- SOUTH BAY MENTAL HEALTH CENTER
- Practice address
- 463 Swansea Mall Dr
Swansea, MA 02777-4119 - Phone
- (508) 324-1060
- NPI assigned
- Oct 30, 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
- Catherine O'Shaughnessy
- Title
- Early Intervention Specialist
- Phone
- (401) 575-6771
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
463 Swansea Mall Dr
Swansea, MA 02777-4119
Mailing address
8 Greenfield Ave
North Providence, RI 02911-2045
Phone (401) 575-6771
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- North Providence, RI
- NPI 1184969743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351555200000",
"number": "1205180163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 GREENFIELD AVE",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029112045",
"telephone_number": "401-575-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 SWANSEA MALL DR",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027774119",
"telephone_number": "508-324-1060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BAY MENTAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-30",
"last_updated": "2012-10-30",
"status": "A",
"authorized_official_last_name": "O'SHAUGHNESSY",
"authorized_official_first_name": "CATHERINE",
"authorized_official_title_or_position": "EARLY INTERVENTION SPECIALIST",
"authorized_official_telephone_number": "401-575-6771"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.