Active NPI
South Bay Mental Health
- Community/Behavioral Health Agency
- Worcester, MA
National Provider Identifier
1912324369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SOUTH BAY MENTAL HEALTH
- Practice address
- 49A Farrar Ave
Apt Il
Worcester, MA 01604-3272 - Phone
- (774) 228-8808
- NPI assigned
- Mar 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gabriel Nii Lamptey
- Title
- Treatmnet Coordinator
- Phone
- (774) 228-8808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
49A Farrar Ave
Apt Il
Worcester, MA 01604-3272
Mailing address
49A Farrar Ave
Apt Il
Worcester, MA 01604-3272
Phone (774) 228-8808
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395619200000",
"number": "1912324369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49A FARRAR AVE",
"address_2": "APT IL",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016043272",
"telephone_number": "774-228-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49A FARRAR AVE",
"address_2": "APT IL",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016043272",
"telephone_number": "774-228-8808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BAY MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-24",
"last_updated": "2014-03-24",
"status": "A",
"authorized_official_last_name": "LAMPTEY",
"authorized_official_first_name": "GABRIEL",
"authorized_official_middle_name": "NII",
"authorized_official_title_or_position": "TREATMNET COORDINATOR",
"authorized_official_telephone_number": "774-228-8808",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.