Active NPI
Lisa Hannaford
- Behavior Analyst
- Beverly, MA
National Provider Identifier
1124509807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 100 Cummings Ctr Ste 135H
Beverly, MA 01915-6127 - Phone
- (978) 927-0172
- NPI assigned
- Aug 22, 2018
- Last updated
- May 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
100 Cummings Ctr Ste 135H
Beverly, MA 01915-6127
Mailing address
100 Cummings Ctr Ste 135H
Beverly, MA 01915-6127
Phone (978) 927-0172
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Therapy Group, LLC. | Behavior Analyst | Current | Accepting new patients |
| The Verbal ABA Clinic, LLC | Behavior Analyst | Past | Accepting new patients |
Locations
100 Cummings Ctr
Ste 135H
Beverly, MA 01915
Phone (978) 927-0172
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1124509807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 135H",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156127",
"telephone_number": "978-927-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 135H",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156127",
"telephone_number": "978-927-0172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAFORD",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.