BROCKTON MULTISERVICE CENTER
NPI 1144768045
Community Based Residential Treatment Facility, Mental Illness in Brockton, MA

NPI Status: Active since February 10, 2017

Contact Information

165 QUINCY ST
BROCKTON, MA
ZIP 02302
Phone: (508) 897-2100
Fax: (508) 586-5117

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About BROCKTON MULTISERVICE CENTER

This page provides the complete NPI Profile along with additional information for Brockton Multiservice Center, a provider established in Brockton, Massachusetts operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1144768045 assigned on February 2017. The practitioner's primary taxonomy code is 320800000X with license number LN25249 (MA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Brockton Multiservice Center. The authorized official of this NPI record is Merleen Mills Licsw (Dirtector Of Emergency Services)

NPI
1144768045
Provider Legal Name
COMMONWEALTH OF MASSACHUSETTS
Other Organization Name
BROCKTON MULTISERVICE CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
165 QUINCY ST BROCKTON, MA 02302
Location Phone
(508) 897-2100
Location Fax
(508) 586-5117
Mailing Address
165 QUINCY ST. BROCKTON, MA 02301
Mailing Phone
(508) 897-2100
Mailing Fax
(508) 586-5117
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2017
Last Update Date
02-10-2017
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
LN25249
License State
MA
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

MERLEEN MILLS LICSW

Authorized Official Title
DIRTECTOR OF EMERGENCY SERVICES
Authorized Official Phone
(508) 285-9400

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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.
1144768045
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841461608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 4 + 6 + 1 + 6 + 0 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1144768045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548365398 KEVIN KEILEY LICSW
Individual
Social Worker (Clinical)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2100
1497854459 SANDRA KILEY-DAVIS LCSW
Individual
Social Worker (Clinical)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2000
1528168804 MARC ALLAN COHEN LICSW
Individual
Social Worker (Clinical)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2040
1376644740 CAROLE GOLDSTEIN LCSW
Individual
Counselor (Mental Health)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2116
1487746681MR. MICHAEL A. MACNEIL LMHC
Individual
Counselor (Mental Health)165 QUINCY ST BROCKTON MULTI SERVICE CENTER
BROCKTON, MA 02302
(508) 897-2112
1073606257MRS. JUDITH S CASSARA MSW
Individual
Social Worker (Clinical)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2088
1073695193 ANNE LING LI M.D.
Individual
Psychiatry & Neurology (Psychiatry)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2000
1912082264 PHILIP CHARLES MCCARTIN LICSW
Individual
Social Worker (Clinical)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2170
1679642235 DEBORAH J DIXON
Individual
Social Worker (Clinical)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2190
1184797193MR. GERALD CROSTHWAITE GASSER MSW LICSW
Individual
Social Worker (Clinical)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2100
1437214301MR. DIETRICH HENRY KULZE III L.I.C.S.W.
Individual
Social Worker (Clinical)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2100
1821148198 SUZANNE PLASSE LICSW
Individual
Social Worker (Clinical)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2163
1780725614MRS. THERESA SILVA
Individual
Social Worker (Clinical)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2067
1386771277MS. BARBARA J EDGAR M.S.
Individual
Counselor (Addiction (Substance Use Disorder))165 QUINCY ST BROCKTON MULTI SERVICE CENTER
BROCKTON, MA 02302
(508) 897-2100
1992832885MR. MANUEL WILLIAM ARAN
Individual
Social Worker165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2100
1851428676 STEPHEN JOHN SPAKOWSKI SW
Individual
Counselor (Mental Health)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2100
1689702581MS. MELINDA J COOK LICSW
Individual
Social Worker (Clinical)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2167
1215065560MR. PATRICK MICHAEL KANE R.N.
Individual
Registered Nurse165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2100
1245368505MS. DANGUOLE DUOBA MAXWELL RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2100
1912035726MS. DEBRA ELIZABETH COLLEY R.N.
Individual
Registered Nurse (Psychiatric/Mental Health)165 QUINCY ST
BROCKTON, MA 02302
(508) 897-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144768045, enumerated in the NPI registry as an "organization" on February 10, 2017

The provider is located at 165 Quincy St Brockton, Ma 02302 and the phone number is (508) 897-2100

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on February 10, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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