Cahrina Geonye Jackson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

35 Walnut St
Wellesley, MA 02481-2101

Phone

(603) 419-1035

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1023747193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ROWELL ST APT 2",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021254435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WALNUT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812101",
            "telephone_number": "603-419-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CAHRINA",
        "middle_name": "GEONYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Catalyst",
            "affiliation": "N",
            "address_1": "35 Walnut St",
            "city": "Wellesley",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024812101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edual Infante Sr., CHW
• John U Ingard, M.D.
• Leonard H Inker, M.D.
• Inner Balance Integrative Medicine, LLC
• Karen Theo Isselbacher, MD
• Nadia Jackson, LMHC
• Anne L Jacobs
• Shirley D. Jacobson, LICSW
• Alice Hassin Jalal, DENTAL HYGIENIST
• Janice Cleveland Washburn, MD, PC

• Behavior Technician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Behavior Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.