Westside Behavioral Health, Llc

LBN: Westside Behavioral Health, Llc
Westside Behavioral Health, Llc is an health care organization with primary practice located at 7 Christy Drive Suite 3, Brockton MA 02301. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Westside Behavioral Health, Llc can be contacted via phone (508) 580-4611, or through Weiner, Michael Stephen via phone (508) 580-4611.

Contact Information

Primary practice address
7 Christy Drive Suite 3 Brockton MA 02301
Phone: (508) 580-4611
Fax: (508) 580-4404
Website:
Map and Directions
Authorized official contact:
Name: Weiner, Michael Stephen LICSW
Phone: (508) 580-4611

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 7330 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8177 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 105028 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 104590 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 110746 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1027200 Massachusetts
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 94523 Massachusetts
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 90943 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35081 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 135140 Massachusetts

Profile Details

NPI number 1689720302
LBN Legal business name Westside Behavioral Health, Llc
DBA Doing business as
Authorized official Weiner, Michael Stephen LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Apr 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689720302 NPPES
Massachusetts Other P10235 BLUE CROSS GROUP NUMBER

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