OrganizationActive
South Shore Mental Health, Inc.
NPI 1639572779 · Developmental Disabilities Clinic/Center · Squantum, MA
Provider details
- NPI number
- 1639572779
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Wojcik, Executive Vice President/Treasurer(617) 847-1950
- License
- 459 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2 Moon Island Rd
Squantum, MA 02171-1034
Phone: (617) 847-1950
Fax: (617) 786-9894
Street-level locationGet directions
Mailing address
500 Victory Road
Quincy, MA 02171-3139
Other names (DBA / former)
- Doing business as
- Step One Early Intervention
Registry dates
- Enumerated
- 2014-10-03
- Last updated
- 2014-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.