NPIMap

Organization Active NPI

New England Behavior Specialty PLLC

  • Child & Adolescent Psychiatry Physician
  • Littleton, MA
National Provider Identifier
1063802098
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
NEW ENGLAND BEHAVIOR SPECIALTY PLLC
Practice address
119 Russell St
Suite 30
Littleton, MA 01460-1274
Phone
(978) 679-1200
Fax
(978) 486-4037
NPI assigned
Jan 29, 2015
Last updated
Jan 29, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW ENGLAND CENTER FOR MENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Jessica Hennessey, RN, CPNPNPI 1467440370
Title
Director of Operations
Phone
(978) 577-0437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X
Child & Adolescent Psychiatry Physician 2084P0804X Primary

Addresses

Primary practice location

119 Russell St
Suite 30
Littleton, MA 01460-1274

Mailing address

119 Russell St
Suite 30
Littleton, MA 01460-1274
Phone (978) 679-1200

National Provider Directory

National Provider Directory
Part of
New England Center for Mental Health

Locations

119 Russell St
Ste 30
Littleton, MA 01460
Phone (978) 679-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1063802098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 RUSSELL ST",
            "address_2": "SUITE 30",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601274",
            "telephone_number": "978-679-1200",
            "fax_number": "978-486-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 RUSSELL ST",
            "address_2": "SUITE 30",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601274",
            "telephone_number": "978-679-1200",
            "fax_number": "978-486-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND BEHAVIOR SPECIALTY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW ENGLAND CENTER FOR MENTAL HEALTH",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "HENNESSEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "978-577-0437",
        "authorized_official_credential": "RN, CPNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.