South Shore Mental Health
NPI 1417051780ActiveOrganization· Preferred Provider Organization· Quincy, MA
Preferred Provider Organization in Quincy, Massachusetts, registered in NPPES in September 2006. The authorized official on file is Lu Fernandez, Supervisor.
Overview
| NPI | 1417051780 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 1025460 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|