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SOUTH BAY COMMUNITY SERVICES
NPI 1033294558
Clinic/Center - Adolescent and Children Mental Health in Brockton, MA

Active since October 25, 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 1033294558) is a healthcare organization registered as an adolescent and children mental health in Brockton, Massachusetts and active in the NPI registry since October 2006. The organization lists Sara J Hart, President/coo, as its authorized official.

NPPES Registry Identity

NPI1033294558
Entity TypeOrganization
Primary Taxonomy261QM0855X
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 DateOctober 25, 2006
Last NPPES UpdateApril 1, 20192 updates tracked since enumeration
✔ NPI 1033294558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in MA · 4222
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
1115 WEST CHESTNUT STREET SUITE 202, Brockton, MA 02301
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Other Names 1

Doing Business AsSouth Bay Community Services

Other Identifiers 3

Medicaid1803395MA
Medicaid1803514MA
Medicaid1803034MA

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 1033294558. It was assigned to this organization in the NPPES registry on October 25, 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 Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

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.