NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC – Addiction (Substance Use Disorder) Counselor, NPI 1104202415

NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC is a healthcare provider. based in Brockton, Massachusetts. specializing in Addiction (Substance Use Disorder) Counselor. The NPI Number for NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC is 1104202415

Main info

Organization
Name
NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC
NPI
1104202415
Phone
Not provided
Address
369 COURT ST
Authorized Official
FELICIA S VAN RADER ADMINISTRATOR
Enumeration Date
10 August 2015
Last Update Date
12 July 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:10State licenses:0Digital endpointsOther names

Provider Addresses for NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC

  • 369 COURT ST

    BROCKTON, MA 023024617

    Phone:

    Type: Mailing

  • 1351 MAIN ST

    BROCKTON, MA 023017153

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20260114003252OClinic/Group PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02302)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC?
NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC — NPI 1104202415 — is the standard way to identify this listing.
Is NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC listed as active for patients and plans?
The listing shows NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC as active in the NPI system.
What is NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC's primary classification?
Addiction (Substance Use Disorder) Counselor is the headline specialty for NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC here. Clinical services aligned with this taxonomy classification.
Where is NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC based?
NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC is tied to Brockton, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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