NPIMap

Organization Active NPI

Integrated Learning Academy Newton

  • Occupational Therapist
  • Newton, MA
National Provider Identifier
1043637655
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10998 Issued in MA
Legal business name
INTEGRATED LEARNING ACADEMY NEWTON
Practice address
109 Oak St
Suite G10
Newton, MA 02464-1492
Phone
(617) 916-5573
Fax
(617) 916-5081
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Dr. Mariela Vargas- Irwin, PSY-D, BCBA
Title
Executive Director
Phone
(617) 916-5573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 10998 MA Primary

Addresses

Primary practice location

109 Oak St
Suite G10
Newton, MA 02464-1492

Mailing address

109 Oak St
Suite G10
Newton, MA 02464-1492
Phone (617) 916-5573

Other names 1

  • Applied Behavioral Learning Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Applied Behavioral Learning Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1043637655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OAK ST",
            "address_2": "SUITE G10",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641492",
            "telephone_number": "617-916-5573",
            "fax_number": "617-916-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OAK ST",
            "address_2": "SUITE G10",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641492",
            "telephone_number": "617-916-5573",
            "fax_number": "617-916-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED LEARNING ACADEMY NEWTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "VARGAS- IRWIN",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-916-5573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY-D, BCBA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Applied Behavioral Learning Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.