Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Massachusetts Mentor LLC

Organization Community/Behavioral Health Agency · NPI 1811021090

Massachusetts Mentor LLC is a Community/Behavioral Health Agency in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1115 W Chestnut St Ste 202
Brockton, MA 02301-7501
Phone: (781) 326-4207
Fax: (781) 326-4654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foster Care Agency (primary) Taxonomy 253J00000X
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 1615 (MA)
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1811021090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Rodenberg-Roberts — Chief Regulatory Officer Sr Asst Gc · (952) 836-2234
NPI enumeratedMarch 16, 2007
Last updated in NPPESJune 20, 2026
Certification dateJune 20, 2026
Mailing address6600 France Ave S Ste 350, Edina, MN 55435-1810

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