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SOUTH BAY COMMUNITY SERVICES
NPI 1023096864
Clinic/Center - Mental Health (Including Community Mental Health Center) in Brockton, MA

Active since January 03, 2006
1115 WEST CHESTNUT STREET, SUITE 202, BROCKTON, MA 02301(508) 521-2200(508) 584-2227 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2019, Dec 29, 2016 (2 updates tracked since 2016).

About South Bay Community Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH BAY COMMUNITY SERVICES (NPI 1023096864) is a healthcare organization registered as a mental health (including community mental health center) in Brockton, Massachusetts and active in the NPI registry since January 2006. The organization lists Sara J Hart, President/coo, as its authorized official.

NPPES Registry Identity

NPI1023096864
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTH BAY MENTAL HEALTH CENTER, INC.
Location Address1115 WEST CHESTNUT STREET, SUITE 202Brockton, MA 02301
Mailing Address1115 West Chestnut Street, Suite 202Brockton, MA 02301 · (508) 521-2200 · Fax (508) 584-2227
Phone(508) 521-2200
Fax(508) 584-2227
Organization SubpartNo
Authorized OfficialSara J HartPresident/coo · (508) 324-0328
Enumeration DateJanuary 3, 2006
Last NPPES UpdateApril 1, 20192 updates tracked since enumeration
✔ NPI 1023096864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in MA · 4222
1115 WEST CHESTNUT STREET, Brockton, MA 02301
Open in Google Maps ↗

Other Names 1

Doing Business AsSouth Bay Community Services

Other Identifiers 15

Medicaid1300423MA
Medicaid1309056MA
Medicaid1309196MA
Medicaid1311964MA
Medicaid1309137MA
Medicaid1310003MA
Medicaid1311093MA
Medicaid1312065MA
Medicaid1319779MA
Medicaid1309218MA
Medicaid1309226MA
Medicaid1312472MA
Medicaid1309994MA
Medicaid1310976MA
Medicaid1316478MA

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA KING
Counselor (Mental Health)
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MRS. MARY MONICA TELESMANICK
Developmental Therapist
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
Plymouth County (508) 559-0473
MISS NICOLE DIASIO BURK
Counselor (Mental Health)
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MR. ALEX J WEINSTOCK MSW
Counselor (Mental Health)
1115 WEST CHESTNUT STREET
BROCKTON, NY 02301
Plymouth County (508) 588-5751
BARBARA ANN CLEARY-SIMONS
Behavior Analyst
1115 WEST CHESTNUT STREET, SOUTH BAY MENTAL HEALTH
BROCKTON, MA 02301
Plymouth County (508) 559-0473
DR. JACKIE MASCHER PHD
Psychologist (Counseling)
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MRS. JULI ANN SULLIVAN
Student in an Organized Health Care Education/Training Program
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
Plymouth County (508) 580-4691
ANN MARY GRELL
Counselor (Mental Health)
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
Plymouth County (508) 580-4691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Bay Mental Health Center, Inc.'s NPI number?

The NPI number for South Bay Mental Health Center, Inc. is 1023096864. It was assigned to this organization in the NPPES registry on January 3, 2006. The provider is doing business as South Bay Community Services.

Where is South Bay Mental Health Center, Inc. located?

South Bay Mental Health Center, Inc. is located at 1115 West Chestnut Street Suite 202, Brockton, MA 02301. The listed phone number is (508) 521-2200.

What is South Bay Mental Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for South Bay Mental Health Center, Inc. was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.