South Bay Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1026901 Issued in MA

Legal business name

SOUTH BAY MENTAL HEALTH

Practice address

50 Aldrin Rd
Plymouth, MA 02360-4827

Phone

(508) 830-0000

Fax

(508) 746-8429

NPI assigned

Jul 6, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Helen Sanford, LICSW

Title

Clinical Social Worker

Phone

(508) 830-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

South Bay Mental Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• South Bay Mental Health

  • Case Management Agency
  • Kingston, MA
  • NPI 1245634831
  NPD tax ID
• South Bay Mental Health

  • Health Maintenance Organization
  • Lynn, MA
  • NPI 1427490705
  NPD tax ID

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1265797252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALDRIN RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604827",
            "telephone_number": "508-830-0000",
            "fax_number": "508-746-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALDRIN RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604827",
            "telephone_number": "508-830-0000",
            "fax_number": "508-746-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "508-830-0000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "1026901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF MASSACHUSETTS/ SOCIAL WORKER/ LICSW",
            "identifier": "1026901",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Dominick Sorensen
• James Russell Sorensen, EDD
• Shannon Lynn Sorensen, LICSW
• Amy Sotomayor, PT
• Sound Speech and Hearing
• South Bay Mental Health Center, Inc.
• South Shore Community Action Council, Inc.
• South Shore Health Express, Inc
• South Shore Nephrology, P.C.
• South Shore Nephrology, P.C.

• Community/Behavioral Health Agency in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

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

Verify at the official NPI Registry.