| Westside Behavioral Health, Llc | |
|
7 Christy Drive Suite 3 Brockton MA 02301 | |
| (508) 580-4611 | |
| (508) 580-4404 |
| Full Name | Westside Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7 Christy Drive, Brockton, Massachusetts |
| Authorized Official Name and Position | Michael Stephen Weiner (PARTENER) |
| Authorized Official Contact | 5085804611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Behavioral Health, Llc 7 Christy Drive Suite 3 Brockton MA 02301 Ph: (508) 580-4611 | Westside Behavioral Health, Llc 7 Christy Drive Suite 3 Brockton MA 02301 Ph: (508) 580-4611 |
| NPI Number | 1689720302 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 5395827711 |
|---|---|
| Medicare Enrollment ID | O20080124000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689720302 | NPI | - | NPPES |
| P10235 | Other | MA | BLUE CROSS GROUP NUMBER |
| Provider Name | Joseph F Janas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740372556 PECOS PAC ID: 1850374885 Enrollment ID: I20040610001294 |
| Provider Name | Dawn E Herman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891858213 PECOS PAC ID: 9032194584 Enrollment ID: I20040621000428 |
| Provider Name | Michael S Weiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669535084 PECOS PAC ID: 8820077282 Enrollment ID: I20040719000617 |
| Provider Name | Treniece L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477610038 PECOS PAC ID: 3779554548 Enrollment ID: I20040804001169 |
| Provider Name | Ann V Nicholson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1295898690 PECOS PAC ID: 5092787309 Enrollment ID: I20040809000119 |
| Provider Name | Elizabeth A Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851326862 PECOS PAC ID: 8022086727 Enrollment ID: I20040921000376 |
| Provider Name | Virginia Montenegro Hadley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710044870 PECOS PAC ID: 1759324569 Enrollment ID: I20050602000927 |
| Provider Name | Monique T Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316497191 PECOS PAC ID: 6305875907 Enrollment ID: I20050804000216 |
| Provider Name | Tamara Schorr Hammer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275798852 PECOS PAC ID: 3678633625 Enrollment ID: I20081120000184 |
| Provider Name | Matthew C Geden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164739413 PECOS PAC ID: 4789868092 Enrollment ID: I20110412000188 |
| Provider Name | Edilia Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992860571 PECOS PAC ID: 6507891173 Enrollment ID: I20130418000485 |
| Provider Name | Clare E Katuramu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245559780 PECOS PAC ID: 9436387438 Enrollment ID: I20140121001944 |
| Provider Name | Leslie A Delisle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1831427632 PECOS PAC ID: 1052636552 Enrollment ID: I20150204000357 |
| Provider Name | Denise B Keck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154764371 PECOS PAC ID: 6800827205 Enrollment ID: I20150213000504 |
| Provider Name | Wendy L Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194862797 PECOS PAC ID: 1052491024 Enrollment ID: I20150316001205 |
| Provider Name | Angela F Wilbur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508038779 PECOS PAC ID: 2769760362 Enrollment ID: I20161102002130 |
| Provider Name | John C Job |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407393010 PECOS PAC ID: 1557629219 Enrollment ID: I20171229001821 |
| Provider Name | Sarah W Darling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508010034 PECOS PAC ID: 0143407312 Enrollment ID: I20180330000331 |
| Provider Name | Michaela U Kauffmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487763413 PECOS PAC ID: 4284640855 Enrollment ID: I20190327000224 |
| Provider Name | Rachel Weiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427318567 PECOS PAC ID: 8628318623 Enrollment ID: I20190328000801 |
| Provider Name | Ranu Aeron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639204480 PECOS PAC ID: 5799019154 Enrollment ID: I20190619001761 |
| Provider Name | Elysee M Njontu |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710447651 PECOS PAC ID: 4486985298 Enrollment ID: I20191009001574 |
| Provider Name | Sheila Marcellus |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043736523 PECOS PAC ID: 7214367788 Enrollment ID: I20200423003028 |
| Provider Name | Rebecca Macgillivray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255768230 PECOS PAC ID: 9436496411 Enrollment ID: I20200709003488 |
| Provider Name | Laura M Mullette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710012513 PECOS PAC ID: 3476680976 Enrollment ID: I20210809000194 |
| Provider Name | Maryanne Natale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083194583 PECOS PAC ID: 9032504824 Enrollment ID: I20220314001234 |
| Provider Name | Theresa Emily Kosch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184398943 PECOS PAC ID: 7618364399 Enrollment ID: I20220427002044 |
| Provider Name | Rita A Rooney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801848528 PECOS PAC ID: 2365681061 Enrollment ID: I20221027001648 |
| Provider Name | Aimee M Rosner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154917821 PECOS PAC ID: 3274976626 Enrollment ID: I20240213001946 |
| Provider Name | Dawn L Parks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285819722 PECOS PAC ID: 2163869405 Enrollment ID: I20240322001416 |
| Provider Name | Krysten M Corlett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811295587 PECOS PAC ID: 0042658783 Enrollment ID: I20240401002166 |
| Provider Name | Alisha Monique Laguerre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275816498 PECOS PAC ID: 6800039017 Enrollment ID: I20240513000803 |
Arbour Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Shaw Rd, Brockton, MA 02301 Phone: 617-935-4872 | |
Aubrey Lieberman Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1342 Belmont St, Suite 105, Brockton, MA 02301 Phone: 508-580-3330 Fax: 508-580-8633 | |
South Bay Community Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
Bmc Community Hospital Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3000 | |
South Bay Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 West Chestnut Street Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
Bmc Brockton Behavioral Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34 N Pearl St, Brockton, MA 02301 Phone: 617-414-5393 | |
Brockton Multi Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Dmh, Brockton, MA 02302 Phone: 508-897-2000 Fax: 508-586-5117 |