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SOUTHBAY COMMUNITY SERVICES
NPI 1407309420
Community/Behavioral Health in Brockton, MA

Active since July 26, 2016
1115 W CHESTNUT ST, BROCKTON, MA 02301(508) 521-2200 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southbay Community Services NPPES

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

SOUTHBAY COMMUNITY SERVICES (NPI 1407309420) is a healthcare organization registered as a community/behavioral health in Brockton, Massachusetts and active in the NPI registry since July 2016. The organization lists Ruthe Antoine, Behavioral Management Therapist, as its authorized official.

NPPES Registry Identity

NPI1407309420
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTHBAY COMMUNITY SERVICES
Location Address1115 W CHESTNUT STBrockton, MA 02301-7501
Mailing Address25 Somerset PlBrockton, MA 02301-6048 · (973) 901-4042
Phone(508) 521-2200
Organization SubpartNo
Authorized OfficialRuthe AntoineBehavioral Management Therapist · (973) 901-4042
Enumeration DateJuly 26, 2016
✔ NPI 1407309420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1115 W CHESTNUT ST, Brockton, MA 02301
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Other Providers at the Same Location NPPES 20

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

KATHERINE SHAO
Physical Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
KATELIN ANN SWAN
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
JENNA M MONACO
Social Worker (Clinical)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. JILLIAN MARIE HAYDEN BA PSYCHOLOGY
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. CAITLIN C EDELMAN M.A.
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
AMANDA EICK
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
REBECCA CLEGG
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
COURTNEY MAULEN
Occupational Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 559-0473

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 Southbay Community Services's NPI number?

The NPI number for Southbay Community Services is 1407309420. It was assigned to this organization in the NPPES registry on July 26, 2016.

Where is Southbay Community Services located?

Southbay Community Services is located at 1115 W Chestnut St, Brockton, MA 02301. The listed phone number is (508) 521-2200.

What is Southbay Community Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Southbay Community Services was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.