NPIMap

Organization Active NPI

Saint Vincent'S Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Fall River, MA
National Provider Identifier
1710102769
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
48X36 Issued in MA
Legal business name
SAINT VINCENT'S SERVICES, INC.
Practice address
2425 Highland Ave
Fall River, MA 02720-4508
Phone
(508) 679-8511
Fax
(508) 679-0953
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Kristen Lamora Dutra, LMHCNPI 1265739080
Title
Ceo
Phone
(508) 679-8511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Adolescent and Children Mental Health Clinic/Center 261QM0855X 48X36 MA Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MA

Addresses

Primary practice location

2425 Highland Ave
Fall River, MA 02720-4508

Mailing address

2425 Highland Ave
Fall River, MA 02720-4508
Phone (508) 679-8511

National Provider Directory

National Provider Directory

Locations

2425 Highland Ave
Fall River, MA 02720
Phone (508) 679-8511

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1710102769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 HIGHLAND AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027204508",
            "telephone_number": "508-679-8511",
            "fax_number": "508-679-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 HIGHLAND AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027204508",
            "telephone_number": "508-679-8511",
            "fax_number": "508-679-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VINCENT'S SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "DUTRA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "LAMORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-679-8511",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MA",
            "license": "48X36",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.