South Bay Mental Health Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOUTH BAY MENTAL HEALTH CENTER

Practice address

20 Artemis Rd
Salem, NH 03079-5603

Phone

(603) 921-0537

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Julissa Bobadilla

Title

Behavioral Analyst

Phone

(603) 921-0537

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1992068217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ARTEMIS RD",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030795603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ARTEMIS RD",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030795603",
            "telephone_number": "603-921-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "BOBADILLA",
        "authorized_official_first_name": "JULISSA",
        "authorized_official_title_or_position": "BEHAVIORAL ANALYST",
        "authorized_official_telephone_number": "603-921-0537"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Salem, NH
• Providers in Salem, NH by specialty
• Behavior Analyst in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.