SOUTH BAY COMMUNITY SERVICES
NPI 1750703062
Early Intervention Provider Agency in Brockton, MA

NPI Status: Active since January 07, 2014

Contact Information

1115 WEST CHESTNUT STREET
SUITE 202
BROCKTON, MA
ZIP 02301
Phone: (508) 521-2200
Fax: (508) 584-2227

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  • Organization
  • Early Intervention Provider Agency

About SOUTH BAY COMMUNITY SERVICES

This page provides the complete NPI Profile along with additional information for South Bay Community Services, a provider established in Brockton, Massachusetts operating as a Early Intervention Provider Agency. The healthcare provider is registered in the NPI registry with number 1750703062 assigned on January 2014. The practitioner's primary taxonomy code is 252Y00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as South Bay Community Services. The authorized official of this NPI record is Sara J Hart Lmhc (President/coo)

NPI
1750703062
Provider Legal Name
SOUTH BAY MENTAL HEALTH CENTER, INC.
Other Organization Name
SOUTH BAY COMMUNITY SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1115 WEST CHESTNUT STREET SUITE 202 BROCKTON, MA 02301
Location Phone
(508) 521-2200
Location Fax
(508) 584-2227
Mailing Address
1115 WEST CHESTNUT STREET SUITE 202 BROCKTON, MA 02301
Mailing Phone
(508) 521-2200
Mailing Fax
(508) 584-2227
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-07-2014
Last Update Date
04-01-2019
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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

Early Intervention Provider Agency

Taxonomy Code
252Y00000X
Type
Agencies
Taxonomy Description
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

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

SARA J HART LMHC

Authorized Official Title
PRESIDENT/COO
Authorized Official Phone
(508) 324-0328

Reviews for SOUTH BAY COMMUNITY SERVICES

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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.
1750703062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001406012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 0 + 6 + 0 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1750703062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

MRS. MARY MONICA TELESMANICK

Specialist

1115 WEST CHESTNUT STREET
BROCKTON, MA
ZIP 02301

(508) 559-0473

DANIELLE MAIRE GROW CIMI

Student in an Organized Health Care Education/Training Program

1115 WEST CHESTNUT STREET
BROCKTON, MA
ZIP 02301

(508) 559-0473

MRS. CAITLIN O'CONNOR THIBEAULT

Social Worker

(Clinical)

1115 WEST CHESTNUT STREET
BROCKTON, MA
ZIP 02301

(508) 580-4691

MS. SANDI LEE COYNE

Student in an Organized Health Care Education/Training Program

1115 WEST CHESTNUT STREET
SBMHC
BROCKTON, MA
ZIP 02301

(508) 580-4691

DR. JACKIE MASCHER PHD

Psychologist

(Counseling)

1115 WEST CHESTNUT STREET
BROCKTON, MA
ZIP 02301

(508) 580-4691

MISS NICOLE DIASIO BURK

Counselor

(Mental Health)

1115 WEST CHESTNUT STREET
BROCKTON, MA
ZIP 02301

(508) 580-4691

MR. ALEX J WEINSTOCK MSW

Counselor

(Mental Health)

1115 WEST CHESTNUT STREET
BROCKTON, NY
ZIP 02301

(508) 588-5751

MRS. JULI ANN SULLIVAN

Student in an Organized Health Care Education/Training Program

1115 WEST CHESTNUT STREET
BROCKTON, MA
ZIP 02301

(508) 580-4691

ANN MARY GRELL

Counselor

(Mental Health)

1115 WEST CHESTNUT STREET
BROCKTON, MA
ZIP 02301

(508) 580-4691

TALITHA ANNE COLLINS M.A.

Counselor

(Mental Health)

1115 WEST CHESTNUT STREET
BROCKTON, MA
ZIP 02301

(508) 580-4691

ALICIA KING

Counselor

(Mental Health)

1115 WEST CHESTNUT STREET
BROCKTON, MA
ZIP 02301

(508) 580-4691

BARBARA ANN CLEARY-SIMONS

Behavior Analyst

1115 WEST CHESTNUT STREET
SOUTH BAY MENTAL HEALTH
BROCKTON, MA
ZIP 02301

(508) 559-0473

JESSICA CONNEARNEY

Social Worker

1115 WEST CHESTNUT STREET
BROCKTON, MA
ZIP 02301

(617) 462-5332

MRS. SARA M RYAN

Student in an Organized Health Care Education/Training Program

1115 WEST CHESTNUT STREET
SOUTH BAY MENTAL HEALTH
BROCKTON, MA
ZIP 02301

(508) 521-2278

SOUTH BAY MENTAL HEALTH CENTER, INC.

Clinic/Center

(Mental Health (Including Community Mental Health Center))

1115 WEST CHESTNUT STREET
SUITE 202
BROCKTON, MA
ZIP 02301

(508) 521-2200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750703062, enumerated as an "organization" on January 07, 2014.

The provider is located at 1115 WEST CHESTNUT STREET SUITE 202 BROCKTON, MA 02301 and the phone number is (508) 521-2200.

Early Intervention Provider Agency with taxonomy code 252Y00000X.