SOUTH BAY COMMUNITY SERVICES
NPI 1023096864
Clinic/center, Mental Health (including Community Mental Health Center) in Brockton,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 3, 2006

Contact Information

1115 West Chestnut Street
Brockton,
Post Code: 02301
Phone: (508) 521-2200
Fax: (508) 584-2227

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South Bay Community Services in Brockton - Clinic/Center, Mental Health (Including Community Mental Health Center)

South Bay Community Services is a Clinic/Center, Mental Health (Including Community Mental Health Center) in Brockton, . South Bay Community Services practices all healthcare services and medical treatments related to Clinic/Center, Mental Health (Including Community Mental Health Center). The NPI Number for South Bay Community Services is 1023096864. The last update date is 2019-04-01.

South Bay Community Services's current location address is 1115 West Chestnut Street, Brockton, . You can contact this provider via phone number (508) 521-2200 and fax number (508) 584-2227. The mailing address for South Bay Community Services is 1115 West Chestnut Street, Brockton, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023096864
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, Brockton,
Location Phone
(508) 521-2200
Location Fax
(508) 584-2227
Mailing Address
1115 West Chestnut Street, Brockton, Massachusetts(MA)
Mailing Phone
508-521-2200
Mailing Fax
508-584-2227
Enumeration Date
2006-01-03
Last Update Date
2019-04-01
Code Navigator

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, Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
-
License No.
4222
License State
Massachusetts (MA)
Taxonomy Description
-

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
1300423 MEDICAID (05) Massachusetts (MA)
1309056 MEDICAID (05) Massachusetts (MA)
1309137 MEDICAID (05) Massachusetts (MA)
1309196 MEDICAID (05) Massachusetts (MA)
1309218 MEDICAID (05) Massachusetts (MA)
1309226 MEDICAID (05) Massachusetts (MA)
1309994 MEDICAID (05) Massachusetts (MA)
1310003 MEDICAID (05) Massachusetts (MA)
1310976 MEDICAID (05) Massachusetts (MA)
1311093 MEDICAID (05) Massachusetts (MA)
1311964 MEDICAID (05) Massachusetts (MA)
1312065 MEDICAID (05) Massachusetts (MA)
1312472 MEDICAID (05) Massachusetts (MA)
1316478 MEDICAID (05) Massachusetts (MA)
1319779 MEDICAID (05) Massachusetts (MA)

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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.
1023096864
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20430912812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20430912812
2 + 0 + 4 + 3 + 0 + 9 + 1 + 2 + 8 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1023096864 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011061 WALTER CARY LETIEN
Individual
Audiologist-Hearing Aid Fitter 266 CABOT ST
BEVERLY, Massachusetts (MA)
978-922-1888
1023011228 TRACY A HARADON
Individual
Optometrist 453 SUMNER AVE
SPRINGFIELD, Massachusetts (MA)
413-733-5155
1003819384 TRICIA A JOHNSON
Individual
Physician Assistant, Surgical PO BOX 416457
BOSTON, Massachusetts (MA)
844-362-1735
1013919125 STEVEN P. BLOOM
Individual
Pediatrics 1 PARKWAY
HAVERHILL, Massachusetts (MA)
978-521-3230
1003810094 PAUL J BLOCK
Individual
Internal Medicine 100 HOSPITAL RD
LEOMINSTER, Massachusetts (MA)
978-537-9305