Anacleto Tavares, BS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

300 Battles St
Brockton, MA 02301-2231

Phone

(774) 297-0492

NPI assigned

Feb 17, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1104419530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 KURLAND AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012651",
            "telephone_number": "774-297-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BATTLES ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012231",
            "telephone_number": "774-297-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "ANACLETO",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon K Tari
• Tetyana Tarnavsky, M.D.,PH.D.
• Heather E Tarrant, M.D.
• Monique C. Tasker, LCSW
• Ceejay Niveyah Tatum
• Jasmin B Tavares
• Maria Tiago Tavares
• Crystal Lee Taveras
• Angel Taylor, MD
• Ariel Taylor

• Counselor in Brockton, MA
• Providers in Brockton, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.