Active NPI
Cassandra P Karamourtopoulos
- Behavior Analyst
- Peabody, MA
National Provider Identifier
1033870936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LABA10000582
- Practice address
- 8 Essex Center Dr
Peabody, MA 01960-2959 - Phone
- (877) 394-1333
- NPI assigned
- Jan 4, 2022
- Reactivated
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 | LABA10000582 | MA | Primary |
Addresses
Primary practice location
8 Essex Center Dr
Peabody, MA 01960-2959
Mailing address
542 Amherst St
Nashua, NH 03063-1016
Other practice location 1
20 Main St
Acton, MA 01720-3575
Phone (978) 263-1427
Other practice location 2
67 S Bedford St Ste 101W
Burlington, MA 01803-5152
Phone (617) 865-9445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026265E | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LABA10000582 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Centers of America LLC | 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.
-
- Behavior Analyst
- Nashua, NH
- NPI 1972187250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1033870936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 AMHERST ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 ESSEX CENTER DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602959",
"telephone_number": "877-394-1333"
}
],
"practiceLocations": [
{
"address_1": "20 Main St",
"address_purpose": "LOCATION",
"city": "Acton",
"state": "MA",
"postal_code": "017203575",
"country_code": "US",
"telephone_number": "978-263-1427",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "67 S Bedford St Ste 101W",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018035152",
"country_code": "US",
"telephone_number": "617-865-9445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARAMOURTOPOULOS",
"first_name": "CASSANDRA",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"deactivation_date": "2024-01-29",
"reactivation_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "LABA10000582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110026265E",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.