South Shore Recovery Home

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0207 Issued in MA

Legal business name

SOUTH SHORE RECOVERY HOME

Practice address

10 Dysart St
Quincy, MA 02169-6702

Phone

(617) 773-7023

Fax

(167) 328-3799

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Robert L Monahan, PHD, LADAC I

Title

Exec Director

Phone

(617) 773-7023

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1669988291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DYSART ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696702",
            "telephone_number": "617-773-7023",
            "fax_number": "167-328-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DYSART ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696702",
            "telephone_number": "617-773-7023",
            "fax_number": "167-328-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE RECOVERY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "MONAHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "617-773-7023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LADAC I"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "0207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Shore Mental Health, Inc.
• South Shore Oral Surgery Associates Co. Inc.
• South Shore Plastic Surgery
• South Shore Plastic Surgery
• South Shore Pulmonary, Inc.
• South Street Dental LLC
• South Suburban Pediatrics
• Southeast Community Partnership LLC
• Courtney Souza, CCC-SLP
• Arthur S. Spangler Jr., SC.D. (PH.D. EQUIV.)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.