BROCKTON MULTISERVICE CENTER
NPI 1144768045
Community Based Residential Treatment Facility, Mental Illness in Brockton, MA

NPI Status: Active since February 10, 2017

Contact Information

165 QUINCY ST
BROCKTON, MA
ZIP 02302
Phone: (508) 897-2100
Fax: (508) 586-5117

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  • Community Based Residential Treatment Fa...

About BROCKTON MULTISERVICE CENTER

This page provides the complete NPI Profile along with additional information for Brockton Multiservice Center, a provider established in Brockton, Massachusetts operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1144768045 assigned on February 2017. The practitioner's primary taxonomy code is 320800000X with license number LN25249 (MA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's other name is Brockton Multiservice Center. The authorized official of this NPI record is Merleen Mills Licsw (Dirtector Of Emergency Services)

NPI
1144768045
Provider Legal Name
COMMONWEALTH OF MASSACHUSETTS
Other Organization Name
BROCKTON MULTISERVICE CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
165 QUINCY ST BROCKTON, MA 02302
Location Phone
(508) 897-2100
Location Fax
(508) 586-5117
Mailing Address
165 QUINCY ST. BROCKTON, MA 02301
Mailing Phone
(508) 897-2100
Mailing Fax
(508) 586-5117
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2017
Last Update Date
02-10-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
LN25249
License State
MA
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MERLEEN MILLS LICSW

Authorized Official Title
DIRTECTOR OF EMERGENCY SERVICES
Authorized Official Phone
(508) 285-9400

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144768045
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841461608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 4 + 6 + 1 + 6 + 0 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1144768045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

KEVIN KEILEY LICSW

Social Worker

(Clinical)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2100

SANDRA KILEY-DAVIS LCSW

Social Worker

(Clinical)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2000

MARC ALLAN COHEN LICSW

Social Worker

(Clinical)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2040

CAROLE GOLDSTEIN LCSW

Counselor

(Mental Health)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2116

MR. MICHAEL A. MACNEIL LMHC

Counselor

(Mental Health)

165 QUINCY ST
BROCKTON MULTI SERVICE CENTER
BROCKTON, MA
ZIP 02302

(508) 897-2112

MRS. JUDITH S CASSARA MSW

Social Worker

(Clinical)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2088

ANNE LING LI M.D.

Psychiatry & Neurology

(Psychiatry)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2000

PHILIP CHARLES MCCARTIN LICSW

Social Worker

(Clinical)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2170

DEBORAH J DIXON

Social Worker

(Clinical)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2190

MR. GERALD CROSTHWAITE GASSER MSW LICSW

Social Worker

(Clinical)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2100

MR. DIETRICH HENRY KULZE III L.I.C.S.W.

Social Worker

(Clinical)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2100

SUZANNE PLASSE LICSW

Social Worker

(Clinical)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2163

MRS. THERESA SILVA

Social Worker

(Clinical)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2067

MS. BARBARA J EDGAR M.S.

Counselor

(Addiction (Substance Use Disorder))

165 QUINCY ST
BROCKTON MULTI SERVICE CENTER
BROCKTON, MA
ZIP 02302

(508) 897-2100

MR. MANUEL WILLIAM ARAN

Social Worker

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2100

STEPHEN JOHN SPAKOWSKI SW

Counselor

(Mental Health)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2100

MS. MELINDA J COOK LICSW

Social Worker

(Clinical)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2167

MR. PATRICK MICHAEL KANE R.N.

Registered Nurse

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2100

MS. DANGUOLE DUOBA MAXWELL RN

Registered Nurse

(Addiction (Substance Use Disorder))

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2100

MS. DEBRA ELIZABETH COLLEY R.N.

Registered Nurse

(Psychiatric/Mental Health)

165 QUINCY ST
BROCKTON, MA
ZIP 02302

(508) 897-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144768045, enumerated as an "organization" on February 10, 2017.

The provider is located at 165 QUINCY ST BROCKTON, MA 02302 and the phone number is (508) 897-2100.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.