NPIMap

Organization Active NPI

South Bay Mental Health Center

  • Health Maintenance Organization
  • Boston, MA
National Provider Identifier
1780025189
Registry record updated Jul 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
SOUTH BAY MENTAL HEALTH CENTER
Practice address
15 S Point Dr
Apartment 605
Boston, MA 02125-3564
Phone
(857) 225-6908
NPI assigned
Jul 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2013

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

Authorized official

Name
Karen Shanahan, LMHC
Title
Clinic Director
Phone
(781) 244-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

15 S Point Dr
Apartment 605
Boston, MA 02125-3564

Mailing address

15 S Point Dr
Apartment 605
Boston, MA 02125-3564

National Provider Directory

National Provider Directory
Tax ID family
South Bay Mental Health18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1373673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373673600000",
    "number": "1780025189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S POINT DR",
            "address_2": "APARTMENT 605",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021253564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S POINT DR",
            "address_2": "APARTMENT 605",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021253564",
            "telephone_number": "857-225-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-13",
        "last_updated": "2013-07-13",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "781-244-1950",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2013; 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.