South Bay Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTH BAY MENTAL HEALTH

Practice address

32 Park St FL 3
Adams, MA 01220-2085

Phone

(413) 441-6965

NPI assigned

Jan 28, 2016

Organization subpart

No

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

Authorized official

Name

Carrie Nowicki

Title

Clinicial Social Worker

Phone

(413) 441-6965

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1649637166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PARK ST FL 3",
            "city": "ADAMS",
            "state": "MA",
            "postal_code": "012202085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PARK ST FL 3",
            "city": "ADAMS",
            "state": "MA",
            "postal_code": "012202085",
            "telephone_number": "413-441-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "NOWICKI",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CLINICIAL SOCIAL WORKER",
        "authorized_official_telephone_number": "413-441-6965"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie C Rufo
• Kayla Samson
• Mary Katherine Sheffield, M.D.
• Amy Shepard
• Candice Smith, NP
• Donna Jean Tew, ARNP
• Barbara Ann Teresa Vallone
• Thomas E Viale Jr., RPH
• Hilary Wailonis
• Walgreen Co

• All providers in Adams, MA
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.