Team Coordinating Agency, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0581 Issued in MA

Legal business name

TEAM COORDINATING AGENCY, INC.

Practice address

76 Winter St
Haverhill, MA 01830-5760

Phone

(978) 373-1181

Fax

(978) 374-7605

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Miller, PH.D.

Title

Executive Director

Phone

(978) 373-1181

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Team Coordinating Agency4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Team Coordinating Agency

  • Clinic/Center
  • Haverhill, MA
  • NPI 1275795551
  NPD tax ID
• Team Coordinating Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Haverhill, MA
  • NPI 1952742033
  NPD tax ID
• Team Coordinating Agency, Inc.

  • Adult Mental Health Clinic/Center
  • Haverhill, MA
  • NPI 1619229994
  NPD tax ID

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1083748230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WINTER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305760",
            "telephone_number": "978-373-1181",
            "fax_number": "978-374-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WINTER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305760",
            "telephone_number": "978-373-1181",
            "fax_number": "978-374-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM COORDINATING AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-373-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "0581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1307959",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Tarricone, B.S
• Ana M Tavarez, CPHT
• Whittney O'Megan Taveras, THERAPEUTIC MENTOR
• Team Coordinating Agency
• Team Coordinating Agency
• Team Coordinating Agency, Inc.
• Abol Massih Tehrani, DDS DMD CAGS
• Tender Embrace Homecare LLC
• Samantha Teperow, THERAPEUTICMENTORING
• The Arc of Greater Haverhill-Newburyport

• Community/Behavioral Health Agency in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.