Active NPI
South Bay Mental Health
- Case Management Agency
- Kingston, MA
National Provider Identifier
1245634831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SOUTH BAY MENTAL HEALTH
- Practice address
- 62 Evergreen St
Kingston, MA 02364-1426 - Phone
- (781) 589-4046
- NPI assigned
- Oct 10, 2014
- 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
- Anne M. Mullaney
- Title
- Case Manager
- Phone
- (508) 830-0004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
62 Evergreen St
Kingston, MA 02364-1426
Mailing address
62 Evergreen St
Kingston, MA 02364-1426
Phone (781) 589-4046
National Provider Directory
National Provider Directory- Tax ID family
- South Bay Mental Health
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Plymouth, MA
- NPI 1265797252
-
- Health Maintenance Organization
- Lynn, MA
- NPI 1427490705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412899200000",
"number": "1245634831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 EVERGREEN ST",
"city": "KINGSTON",
"state": "MA",
"postal_code": "023641426",
"telephone_number": "781-589-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 EVERGREEN ST",
"city": "KINGSTON",
"state": "MA",
"postal_code": "023641426",
"telephone_number": "781-589-4046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BAY MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A",
"authorized_official_last_name": "MULLANEY",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CASE MANAGER",
"authorized_official_telephone_number": "508-830-0004"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.