Active NPI
Allison Bloom Culkin
- Behavior Analyst
- Stoughton, MA
National Provider Identifier
1013522143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 800 Technology Center Dr Ste 110
Stoughton, MA 02072-4721 - Phone
- (781) 290-3886
- NPI assigned
- Sep 15, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
800 Technology Center Dr Ste 110
Stoughton, MA 02072-4721
Mailing address
61 Sachem St
Quincy, MA 02170-2447
Phone (781) 426-6395
Other practice location 1
80 Washington St Ste P55
Norwell, MA 02061-1742
Phone (781) 290-3886
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England ABA, Inc. | Behavior Analyst | Past | Accepting new patients |
| Proven Behavior Solutions, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Wakefield, MA
- NPI 1407228836
-
- Speech-Language Pathologist
- Norwell, MA
- NPI 1720561921
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1013522143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 SACHEM ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021702447",
"telephone_number": "781-426-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 TECHNOLOGY CENTER DR STE 110",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020724721",
"telephone_number": "781-290-3886"
}
],
"practiceLocations": [
{
"address_1": "80 Washington St Ste P55",
"address_purpose": "LOCATION",
"city": "Norwell",
"state": "MA",
"postal_code": "020611742",
"country_code": "US",
"telephone_number": "781-290-3886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULKIN",
"first_name": "ALLISON",
"middle_name": "BLOOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.