NPIMap

Organization Active NPI

Commonwealth of Massachusetts

Doing business as DDS South Valley Area Office

  • Case Management Agency
  • Southbridge, MA
National Provider Identifier
1750504064
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Doing business as
DDS South Valley Area Office
South Valley Area Office CM
Practice address
14 Mechanic St
Suite 320
Southbridge, MA 01550
Phone
(508) 764-0751
NPI assigned
Apr 11, 2007
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMONWEALTH OF MASSACHUSETSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Dylan Lattimore
Title
Deputy Commissioner of Adminstrat
Phone
(857) 408-0675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

14 Mechanic St
Suite 320
Southbridge, MA 01550

Mailing address

40 Broad Street
4TH Floor
Boston, MA 02109
Phone (617) 727-5608

Other identifiers 2

IdentifierTypeStateIssuer
1813242MedicaidMA
110000085GMedicaidMA

Other names 2

  • DDS SOUTH VALLEY AREA OFFICE Doing business as
  • SOUTH VALLEY AREA OFFICE CM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Quincy Mental Health Center147 organizations share this tax ID, including this one
Part of
Quincy Mental Health Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

14 Mechanic St
Ste 320
Southbridge, MA 01550
Phone (508) 764-0751

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1750504064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BROAD STREET",
            "address_2": "4TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "617-727-5608",
            "fax_number": "617-624-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MECHANIC ST",
            "address_2": "SUITE 320",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "01550",
            "telephone_number": "508-764-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH OF MASSACHUSETS",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "DEPUTY COMMISSIONER OF ADMINSTRAT",
        "authorized_official_telephone_number": "857-408-0675"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1813242",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000085G",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDS SOUTH VALLEY AREA OFFICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH VALLEY AREA OFFICE CM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.