Active NPI
Family Preservation Center, Inc.
- Mental Health Counselor
- Brockton, MA
National Provider Identifier
1619933611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FAMILY PRESERVATION CENTER, INC.
- Practice address
- 33 W Elm St
Brockton, MA 02301-4317 - Phone
- (508) 583-6622
- Fax
- (508) 583-6656
- NPI assigned
- Apr 26, 2006
- Last updated
- May 1, 2008
- 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
- Ms. Guerdie D Joseph, M.S.W
- Title
- Executive Director
- Phone
- (508) 583-6622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
33 W Elm St
Brockton, MA 02301-4317
Mailing address
33 W Elm St
Brockton, MA 02301-4317
Phone (508) 583-6622
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1619933611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 W ELM ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014317",
"telephone_number": "508-583-6622",
"fax_number": "508-583-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W ELM ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014317",
"telephone_number": "508-583-6622",
"fax_number": "508-583-6656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRESERVATION CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-26",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "GUERDIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "508-583-6622",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S.W"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.