NPIMap

Organization Active NPI

Northeast Behavioral Associates

  • In Home Supportive Care Agency
  • North Dartmouth, MA
National Provider Identifier
1003275108
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NORTHEAST BEHAVIORAL ASSOCIATES
Practice address
145 Faunce Corner Rd Ste K
North Dartmouth, MA 02747-1263
Phone
(774) 206-1125
NPI assigned
Feb 17, 2016
Last updated
Feb 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Megan Colgan
Title
Program Coordinator/ Credentialing
Phone
(774) 206-1125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

145 Faunce Corner Rd Ste K
North Dartmouth, MA 02747-1263

Mailing address

145 Faunce Corner Rd Ste K
North Dartmouth, MA 02747-1263

National Provider Directory

National Provider Directory
Tax ID family
Northeast Behavioral Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

145 Faunce Corner Rd
Ste K
North Dartmouth, MA 02747
Phone (774) 208-2596

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1003275108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 FAUNCE CORNER RD STE K",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 FAUNCE CORNER RD STE K",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471263",
            "telephone_number": "774-206-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST BEHAVIORAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "COLGAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR/ CREDENTIALING",
        "authorized_official_telephone_number": "774-206-1125"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.