South Bay Mental Health

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

06CHA84211 Issued in NH

Legal business name

SOUTH BAY MENTAL HEALTH

Practice address

26 Pinnacle St
Hooksett, NH 03106-1535

Phone

(603) 365-1029

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Eileen Cincevich, M.A.

Title

Family Services Provider

Phone

(603) 365-1029

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1770841777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PINNACLE ST",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061535",
            "telephone_number": "603-365-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PINNACLE ST",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061535",
            "telephone_number": "603-365-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "CINCEVICH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "FAMILY SERVICES PROVIDER",
        "authorized_official_telephone_number": "603-365-1029",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NH",
            "license": "06CHA84211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lissa Sirois
• Ashling Grace Slevin, DPT, PT
• Carly Snodgrass, LCMHC
• Deborah Doris Snow-Major
• George Cristian Solanek, D.D.S.
• Heathyr Spain, MS
• Margaret Ilona Spargimino, D.M.D.
• Joseph P Spychalski, MD
• Riley Erin St Hilaire, PT, DPT
• Annaka Kirsten Stables

• Exclusive Provider Organization in Hooksett, NH
• Providers in Hooksett, NH by specialty
• Exclusive Provider Organization in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.