NPIMap

Organization Active NPI

Southeast Clinical Collaboration

  • Counseling Psychologist
  • Buzzards Bay, MA
National Provider Identifier
1609118280
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
8821 Issued in MA
Legal business name
SOUTHEAST CLINICAL COLLABORATION
Practice address
9 Saint Margarets St
Buzzards Bay, MA 02532-3269
Phone
(508) 326-4371
NPI assigned
Mar 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Dr. Linda Watt, PHD
Title
Psychologist
Phone
(508) 326-4371

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 8821 MA Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Community/Behavioral Health Agency 251S00000X MA

Addresses

Primary practice location

9 Saint Margarets St
Buzzards Bay, MA 02532-3269

Mailing address

9 Saint Margarets St
Buzzards Bay, MA 02532-3269
Phone (508) 326-4371

National Provider Directory

National Provider Directory

Locations

9 Saint Margarets St
Buzzards Bay, MA 02532
Phone (508) 326-4371

Practitioners & affiliated clinicians

Practitioners 2

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": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1609118280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SAINT MARGARETS ST",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323269",
            "telephone_number": "508-326-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SAINT MARGARETS ST",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323269",
            "telephone_number": "508-326-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST CLINICAL COLLABORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "508-326-4371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "8821",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buzzards Bay, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.