Organization Active NPI

Mattick Behavioral Health Services Inc

  • Mental Health Counselor
  • Quincy, MA
National Provider Identifier
1447970694
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MATTICK BEHAVIORAL HEALTH SERVICES INC
Practice address
1400 Hancock St FL 9
Quincy, MA 02169-5233
Phone
(617) 936-8588
Fax
(617) 463-9518
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Judy Selman, LMHCNPI 1215396833
Title
Employee/Owner
Phone
(617) 936-8588

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 1

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

Addresses

Primary practice location

1400 Hancock St FL 9
Quincy, MA 02169-5233

Mailing address

1400 Hancock St FL 9
Quincy, MA 02169-5233
Phone (617) 936-8588

National Provider Directory

National Provider Directory

Locations

1400 Hancock St
Fl 9
Quincy, MA 02169
Phone (617) 936-8588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1447970694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HANCOCK ST FL 9",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695233",
            "telephone_number": "617-936-8588",
            "fax_number": "617-463-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HANCOCK ST FL 9",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695233",
            "telephone_number": "617-936-8588",
            "fax_number": "617-463-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTICK BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "SELMAN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "EMPLOYEE/OWNER",
        "authorized_official_telephone_number": "617-936-8588",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.