Individual provider Active NPI

Yuki Maeda, MA

  • Behavior Analyst
  • Chelmsford, MA
National Provider Identifier
1023537172
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2620 Issued in MA
Practice address
265 Chelmsford St.
Ste 7 #1003
Chelmsford, MA 01824
Phone
(603) 321-5175
Fax
(978) 418-1081
NPI assigned
Sep 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 1-18-33220 NH
Behavior Analyst 103K00000X 2620 MA Primary

Addresses

Primary practice location

265 Chelmsford St.
Ste 7 #1003
Chelmsford, MA 01824

Mailing address

9 Mallard Dr
Hudson, NH 03051-3546
Phone (603) 321-5175

Other identifiers 2

IdentifierTypeStateIssuer
1-18-33220OtherNHBCBA
2620OtherMALABA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Yuki.maeda@fwabh.org Direct Freedom Wings Applied Behavioral Health

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2620MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Wings Applied Behavioral Health Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1023537172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MALLARD DR",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030513546",
            "telephone_number": "603-321-5175",
            "fax_number": "978-418-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CHELMSFORD ST.",
            "address_2": "STE 7 #1003",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "01824",
            "telephone_number": "603-321-5175",
            "fax_number": "978-418-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEDA",
        "first_name": "YUKI",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NH",
            "license": "1-18-33220",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-18-33220",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABA",
            "identifier": "2620",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Yuki.maeda@fwabh.org",
            "affiliation": "Y",
            "affiliationName": "Freedom Wings Applied Behavioral Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "265 Chelmsford St.",
            "address_2": "STE 7 #1003",
            "city": "Chelmsford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.