NPIMap

Organization Active NPI

Southbay Mental Health

  • Community/Behavioral Health Agency
  • Lawrence, MA
National Provider Identifier
1497032957
Registry record updated Nov 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
217636 Issued in MA
Legal business name
SOUTHBAY MENTAL HEALTH
Practice address
15 Union St
Second Floor
Lawrence, MA 01840-1866
Phone
(978) 688-5222
NPI assigned
Nov 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2011

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

Authorized official

Name
David Perry, LCSW
Title
Clinician
Phone
(631) 219-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 217636 MA Primary

Addresses

Primary practice location

15 Union St
Second Floor
Lawrence, MA 01840-1866

Mailing address

13 Pleasant St
Apt.1
Cambridge, MA 02139-3210
Phone (631) 219-1131

National Provider Directory

National Provider Directory
Tax ID family
South Bay Mental Health18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

15 Union St
Fl Second
Lawrence, MA 01840
Phone (978) 688-5222

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": "1321056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321056000000",
    "number": "1497032957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PLEASANT ST",
            "address_2": "APT.1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393210",
            "telephone_number": "631-219-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 UNION ST",
            "address_2": "SECOND FLOOR",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401866",
            "telephone_number": "978-688-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBAY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-12",
        "last_updated": "2011-11-12",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "631-219-1131",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "217636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; 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.