Individual provider Active NPI

Saskya Jean Charles

  • Behavior Analyst
  • Worcester, MA
National Provider Identifier
1114691714
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
330 Grove St
Worcester, MA 01605-3909
Phone
(855) 646-8247
NPI assigned
Aug 6, 2021
Reactivated
Oct 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

330 Grove St
Worcester, MA 01605-3909

Mailing address

32 5TH Ave
Webster, MA 01570-2661
Phone (305) 399-9047

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsaskya@icloud.com Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1114691714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 5TH AVE",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015702661",
            "telephone_number": "305-399-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053909",
            "telephone_number": "855-646-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN CHARLES",
        "first_name": "SASKYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2024-10-22",
        "certification_date": "2021-08-06",
        "deactivation_date": "2024-10-07",
        "reactivation_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsaskya@icloud.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "url",
            "address_1": "330 Grove St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016053909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.