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SOUTH SHORE MENTAL HEALTH CENTER INC. NPI 1770528317


NPI Information

NPI: 1770528317
Provider Name: SOUTH SHORE MENTAL HEALTH CENTER, INC.

Other Name: DISCOVERY DAY TREATMENT

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
460 QUINCY AVE
QUINCY, MA
ZIP 02169
Phone: (617) 847-1950
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SOUTH SHORE MENTAL HEALTH CENTER, INC. is a mental health (including community mental health center) clinic center in Quincy, MA. SOUTH SHORE MENTAL HEALTH CENTER, INC. NPI is 1770528317. The provider is registered as an organization entity type.
The provider Other Name Is Discovery Day Treatment.

The provider's business location address is:

460 QUINCY AVE
QUINCY, MA
ZIP 02169-130
Phone: (617) 847-1950

The provider's authorized official is Minghui Johnson .
The authorized official title is Chief Financial Officer and has the following contact phone number (617) 847-1950.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 6/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health459MASSACHUSETTSNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)459MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11300989MEDICAIDMASSACHUSETTS
21303155MEDICAIDMASSACHUSETTS
3110026069MEDICAIDMASSACHUSETTS
41303937MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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