Active NPI
South Bay Mental Health
- Health Maintenance Organization
- Weymouth, MA
National Provider Identifier
1447500525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 251S00000X
- Legal business name
- SOUTH BAY MENTAL HEALTH
- Practice address
- 541 Main Street
Suite 303
Weymouth, MA 02190 - Phone
- (781) 331-7866
- NPI assigned
- Sep 14, 2012
- 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
- Miss Whitney Marie Bersani, M.A.
- Title
- Mental Health Therapist
- Phone
- (617) 750-1593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 251S00000X | MA | Primary |
Addresses
Primary practice location
541 Main Street
Suite 303
Weymouth, MA 02190
Mailing address
72 Monroe Road
Quincy, MA 02169-1925
Phone (617) 750-1593
National Provider Directory
National Provider DirectoryLocations
541 Main St
Ste 303
Weymouth, MA 02190
Phone (781) 331-7866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347580800000",
"number": "1447500525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 MONROE ROAD",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691925",
"telephone_number": "617-750-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 MAIN STREET",
"address_2": "SUITE 303",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "02190",
"telephone_number": "781-331-7866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BAY MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A",
"authorized_official_last_name": "BERSANI",
"authorized_official_first_name": "WHITNEY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "617-750-1593",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "MA",
"license": "251S00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.