Active NPI
Mind & Bodhi PC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seekonk, MA
National Provider Identifier
1275309817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MIND & BODHI PC
- Practice address
- 70 Case Ave # 1
Seekonk, MA 02771-4156 - Phone
- (774) 901-4800
- NPI assigned
- Nov 27, 2023
- Last updated
- Nov 27, 2023
- 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
- Jere N Cabral, LICSW
- Title
- Licsw, Owner
- Phone
- (508) 558-2656
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
70 Case Ave # 1
Seekonk, MA 02771-4156
Mailing address
132 Baker Rd
Swansea, MA 02777-5002
Phone (508) 558-2656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
70 Case Ave
#1
Seekonk, MA 02771
Phone (774) 901-4800
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.
-
- Mental Health Counselor
- Seekonk, MA
- NPI 1073011664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1275309817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 BAKER RD",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027775002",
"telephone_number": "508-558-2656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 CASE AVE # 1",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027714156",
"telephone_number": "774-901-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND & BODHI PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-25",
"status": "A",
"authorized_official_last_name": "CABRAL",
"authorized_official_first_name": "JERE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "LICSW, OWNER",
"authorized_official_telephone_number": "508-558-2656",
"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
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seekonk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.