NPIMap

Organization Active NPI

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  • Behavior Analyst
  • New Bedford, MA
National Provider Identifier
1134541931
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-2018 Issued in MA
Legal business name
BRIGHTENING HORIZONS
Practice address
427 County St
2ND Floor
New Bedford, MA 02740-5001
Phone
(508) 990-1620
Fax
(508) 990-8118
NPI assigned
Jan 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Dr. Sheldon Wagner, PHD
Title
Psychologist
Phone
(508) 990-1620

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-04-2018 MA Primary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-12-10449 MA
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 4917 MA

Addresses

Primary practice location

427 County St
2ND Floor
New Bedford, MA 02740-5001

Mailing address

427 County St
2ND Floor
New Bedford, MA 02740-5001
Phone (508) 990-1620

National Provider Directory

National Provider Directory
Tax ID family
Brightening Horizons2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1134541931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 COUNTY ST",
            "address_2": "2ND FLOOR",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405001",
            "telephone_number": "508-990-1620",
            "fax_number": "508-990-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 COUNTY ST",
            "address_2": "2ND FLOOR",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405001",
            "telephone_number": "508-990-1620",
            "fax_number": "508-990-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTENING HORIZONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "508-990-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-04-2018",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-12-10449",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.