NPIMap

Organization Active NPI

Brockton Area Multi-Services, Inc.

  • Mental Health Counselor
  • Whitman, MA
National Provider Identifier
1437101839
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4230 Issued in 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
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Mr. Anthony Simonelli
Title
Chief Executive Officer
Phone
(508) 580-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 4230 MA Primary

Addresses

Primary practice location

288 Bedford St
Whitman, MA 02382-1820

Mailing address

10 Christy Dr
Brockton, MA 02301-1812
Phone (508) 580-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060220000224 MA Part B Supplier - Clinic/Group Practice 9133161953 Receives reassigned benefits from 26 practitioners
Practice locations: Whitman, MA

National Provider Directory

National Provider Directory

Locations

500 Belmont St
Ste 230
Brockton, MA 02301
Phone (508) 580-8700

927 Temple St
Whitman, MA 02382
Phone (617) 688-4557

Practitioners & affiliated clinicians

Practitioners 95

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.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1437101839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011812",
            "telephone_number": "508-580-8700",
            "fax_number": "508-580-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 BEDFORD ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821820",
            "telephone_number": "781-447-6425",
            "fax_number": "781-447-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON AREA MULTI-SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "SIMONELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "508-580-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitman, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.

Verify at the official NPI Registry.