SOUTH SHORE MENTAL HEALTH, INC.
NPI 1639572779
Clinic/Center - Developmental Disabilities in Squantum, MA

NPI Status: Active since October 03, 2014

Contact Information

2 MOON ISLAND RD
SQUANTUM, MA
ZIP 02171
Phone: (617) 847-1950
Fax: (617) 786-9894

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  • Organization
  • Clinic/Center
  • Developmental Disabilities
  • Accepts Insurance

About SOUTH SHORE MENTAL HEALTH, INC.

This page provides the complete NPI Profile along with additional information for South Shore Mental Health, Inc., a provider established in Squantum, Massachusetts operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1639572779 assigned on October 2014. The practitioner's primary taxonomy code is 261QD1600X with license number 459 (MA). The provider is registered as an organization and their NPI record was last updated June 2026. The provider's . The authorized official of this NPI record is Scott Borgeson (Director Of Patient Accounts)

NPI
1639572779
Provider Legal Name
SOUTH SHORE MENTAL HEALTH, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2 MOON ISLAND RD SQUANTUM, MA 02171
Location Phone
(617) 847-1950
Location Fax
(617) 786-9894
Mailing Address
1501 WASHINGTON ST BRAINTREE, MA 02184
Mailing Phone
(617) 847-1950
Mailing Fax
(617) 786-9894
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2014
Last Update Date
06-11-2026
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Location Map

Secondary Locations

  • 54 Miller St
    Quincy, MA 02169
    (617) 774-1039

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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
License No.
459
License State
MA
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

SCOTT BORGESON

Authorized Official Title
DIRECTOR OF PATIENT ACCOUNTS
Authorized Official Phone
(617) 847-1994

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
EI0013OTHER (01)BLUE CROSS

Reviews for SOUTH SHORE MENTAL HEALTH, INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639572779, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 1 + 0 + 7 + 4 + 7 + 1 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1639572779.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Developmental Therapist
2 MOON ISLAND RD
SQUANTUM, MA 02171
Counselor
2 MOON ISLAND RD
QUINCY, MA 02171
Speech-Language Pathologist
2 MOON ISLAND RD
QUINCY, MA 02171
Student in an Organized Health Care Education/Training Program
2 MOON ISLAND RD
QUINCY, MA 02171
Case Manager/Care Coordinator
2 MOON ISLAND RD
QUINCY, MA 02171
Student in an Organized Health Care Education/Training Program
2 MOON ISLAND RD
QUINCY, MA 02171
Student in an Organized Health Care Education/Training Program
2 MOON ISLAND RD
QUINCY, MA 02171
Speech-Language Pathologist
2 MOON ISLAND RD
QUINCY, MA 02171
Counselor (Mental Health)
2 MOON ISLAND RD
QUINCY, MA 02171
Speech-Language Pathologist
2 MOON ISLAND RD
QUINCY, MA 02171

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639572779, enumerated as an "organization" on October 03, 2014.

The provider is located at 2 MOON ISLAND RD SQUANTUM, MA 02171 and the phone number is (617) 847-1950.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.