Organization Active NPI

South Bay Mental Health

  • Community/Behavioral Health Agency
  • Worcester, MA
National Provider Identifier
1912324369
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Mar 24, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.