South Shore Mental Health Center, Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Quincy, MA
NPI 1770528317 · NPPES record last updated May 1, 2026
Key facts
- NPI
- 1770528317
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 459 (MA)
- Legal business name
- SOUTH SHORE MENTAL HEALTH CENTER, INC.
- Practice address
- 54 Miller St
Quincy, MA 02169-4725 - Phone
- (617) 847-1950
- Fax
- (617) 786-9894
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Scott Borgeson
- Title
- Director of Patient Acounts
- Phone
- (617) 847-1994
Corporate family (same tax ID) 10
Practitioners 335
-
Andres M Chaparro Rincon, M.D.
-
Samyuktaa Chawla, MS
-
Natasha M Conley, PSY.D.
-
Antonio Costa, MA
-
Kathryn Alana Greene, PSY.D.
-
Della Leah Kaplan, RN/PC
-
Alycen Gail Lafianza, MSN, CNP, PMHNP-BC
-
Marietta G Lyon, LICSW
-
Lani Jeanne Nicholson, M.D.
-
Gayle Marie Patrolia, LICSW
-
Jennifer Lee Pizzi-Corey, MSN, APRN, PMHNP-BC
-
Ida Raduc, LMHC
-
Ruby Richardson, LICSW
-
Kaydean S Shorter, PMHNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2325071 | South Shore Mental Health, Inc | Certificate of waiver | Jun 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040226000168 | MA | Part B Supplier - Clinic/Group Practice | 4082508429 |
Receives reassigned benefits from 101 practitioners Practice locations: Braintree, MA; Marshfield, MA; Plymouth, MA; Quincy, MA; Wareham, MA |
National Provider Directory
- Tax ID family
- South Shore Men HLTH CT
Locations
1501 Washington St
Braintree, MA 02184
Phone (617) 745-2709
769 Plain St
#1
Marshfield, MA 02050
859 Willard St
Ste 430
Quincy, MA 02169
Phone (617) 847-1909
54 Miller St
Quincy, MA 02169
Phone (617) 481-3300
Interoperability endpoints
- marlonbraddock@ssmh.netsmartdirect.net
- brandibechard@ssmh.netsmartdirect.net
- debrawashburn@ssmh.netsmartdirect.net
- emilyadkins@ssmh.netsmartdirect.net
- meganmccarthyegan@ssmh.netsmartdirect.net
- juliamorlino@ssmh.netsmartdirect.net
- emlineclairvil@ssmh.netsmartdirect.net
- aliciawoods@ssmh.netsmartdirect.net
- harryjoseph@ssmh.netsmartdirect.net
- gericabarbosa@ssmh.netsmartdirect.net
- lararubinstein@ssmh.netsmartdirect.net
- laurettavalenti@ssmh.netsmartdirect.net
- doreendraheim@ssmh.netsmartdirect.net
- angelinaojimba@ssmh.netsmartdirect.net
- sophoniebelizaire@ssmh.netsmartdirect.net
- lawrencekahn@ssmh.netsmartdirect.net
- kristenwoodbury@ssmh.netsmartdirect.net
- audreygavin@ssmh.netsmartdirect.net
- barbaraknabe@ssmh.netsmartdirect.net
- emilyring@ssmh.netsmartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 459 | MA | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 459 | MA | Yes |
Addresses
Primary practice location
54 Miller St
Quincy, MA 02169-4725
Mailing address
1501 Washington St
Braintree, MA 02184-7599
Phone (617) 847-1950
Other practice location 1
769 Plain St Unit 1
Marshfield, MA 02050-2118
Phone (617) 847-1950
Other practice location 2
1501 Washington St
Braintree, MA 02184-7599
Phone (617) 847-1950
Other practice location 3
460 Quincy Ave
Quincy, MA 02169-8130
Phone (617) 847-1950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300989 | Medicaid | MA | |
| 1303937 | Medicaid | MA | |
| 110026069 | Medicaid | MA | |
| 1303155 | Medicaid | MA | |
| 110209765D | Medicaid | MA |
Other names
- Aspire Health Alliance
- Aspire Health and Community Services
- Discovery Day Treatment
Other providers in Quincy, MA
- South Shore Mental Health
- South Shore Mental Health
- South Shore Mental Health
- South Shore Mental Health
- South Shore Mental Health
- South Shore Mental Health, Inc.
- South Shore Oral Surgery Associates Co. Inc.
- South Shore Plastic Surgery
- South Shore Plastic Surgery
- South Shore Pulmonary, Inc.
All providers in Quincy, MA · Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.