Brockton Area Multi-Services, Inc.
Organization Active NPI Mental Health Counselor · Whitman, MA
NPI 1437101839 · NPPES record last updated Jan 15, 2008
Key facts
- NPI
- 1437101839
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 4230 (MA)
- Legal business name
- BROCKTON AREA MULTI-SERVICES, INC.
- Practice address
- 288 Bedford St
Whitman, MA 02382-1820 - Phone
- (781) 447-6425
- Fax
- (781) 447-1786
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Anthony Simonelli
- Title
- Chief Executive Officer
- Phone
- (508) 580-8700
Practitioners 95
-
Fredrick P. Aloisi, M.ED.,CAGS
-
Samantha Bradshaw, LMHC
-
Paula Elizabeth Brown, LMHC
-
Johanne Cazeau, FNP-C, PMHNP-BC
-
Jennifer S Chester, M.A.
-
Claudia Ann Hadley, LICSW
-
Lynda Ikeogu, RN
-
Thais Jardim, LCSW
-
Joyce Ma Nwosu, LMHC
-
Teresa Denise Tapper, M.ED, CAGS, LMHC
-
Joshua Patrick Twomey, M.A.
-
Leon E. Whittemore Jr., L.M.H.C.
-
Erin Rauscher, N.P.
-
Sandra Bellerice, APRN, PMHNP-BC
-
Zakisha A Godfrey, NP, PMHNP-BC
-
Charity Iriowen, APRN
-
Woudelyne Jean, CNP
-
Rebecca Haley Jollotta, APRN
-
Melissa L Moriarty, LMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060220000224 | MA | Part B Supplier - Clinic/Group Practice | 9133161953 |
Receives reassigned benefits from 26 practitioners Practice locations: Whitman, MA |
National Provider Directory
Locations
500 Belmont St
Ste 230
Brockton, MA 02301
Phone (508) 580-8700
288 Bedford St
Whitman, MA 02382
Phone (781) 447-6425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 4230 | MA | Yes |
Addresses
Primary practice location
288 Bedford St
Whitman, MA 02382-1820
Mailing address
10 Christy Dr
Brockton, MA 02301-1812
Phone (508) 580-8700
Other providers in Whitman, MA
- Aisha Bonny
- Joseph C Boss
- Breanna Marie Bowker
- Nicole Marie Brandolini
- Jennifer Jean Brennan
- Jehanne E Burch
- Lauren Gaskill Capozzi
- Constance Anne Cardillo-Backoff
- Carr Chiropractic
- Carr Chiropractic Inc
All providers in Whitman, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.