Active NPI
Caitlin Bryan
- Counselor
- Salem, MA
National Provider Identifier
1013310903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 201 Washington St Ste 206
Salem, MA 01970-3617 - Phone
- (978) 306-2742
- NPI assigned
- Oct 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
201 Washington St Ste 206
Salem, MA 01970-3617
Mailing address
49 Warren St # 2
Salem, MA 01970-3132
Phone (978) 306-2742
Other practice location 1
301 Broadway
Chelsea, MA 02150-2807
Phone (617) 912-7914
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | caitlin.embodied@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1013310903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 WARREN ST # 2",
"city": "SALEM",
"state": "MA",
"postal_code": "019703132",
"telephone_number": "978-306-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 WASHINGTON ST STE 206",
"city": "SALEM",
"state": "MA",
"postal_code": "019703617",
"telephone_number": "978-306-2742"
}
],
"practiceLocations": [
{
"address_1": "301 Broadway",
"address_purpose": "LOCATION",
"city": "Chelsea",
"state": "MA",
"postal_code": "021502807",
"country_code": "US",
"telephone_number": "617-912-7914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYAN",
"first_name": "CAITLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "caitlin.embodied@gmail.com",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work email",
"address_1": "201 Washington St Ste 206",
"city": "Salem",
"state": "MA",
"country_code": "US",
"postal_code": "019703617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.