Individual provider Active NPI

Betca Michel

  • Case Manager/Care Coordinator
  • Quincy, MA
National Provider Identifier
1992114979
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
S30337215 Issued in MA
Practice address
500 Victory Rd
Quincy, MA 02171-3139
Phone
(617) 904-8814
NPI assigned
Aug 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X S30337215 MA Primary

Addresses

Primary practice location

500 Victory Rd
Quincy, MA 02171-3139

Mailing address

500 Victory Rd
Quincy, MA 02171-3139
Phone (617) 904-8814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S30337215MAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Mental Health Center, Inc. Current Accepting new patients

Locations

500 Victory Rd
Quincy, MA 02171
Phone (617) 774-1040

Interoperability endpoints

  • Direct secure messaging: betcabyron@ssmh.netsmartdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1992114979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VICTORY RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021713139",
            "telephone_number": "617-904-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VICTORY RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021713139",
            "telephone_number": "617-904-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "BETCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MA",
            "license": "S30337215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.