Organization Active NPI

South Bay Mental Health

  • Health Maintenance Organization
  • Weymouth, MA
National Provider Identifier
1447500525
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
251S00000X Issued in MA
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

Updated by the provider on Sep 14, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.