The Arc of South Norfolk, Inc.

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

4386 Issued in MA

Legal business name

THE ARC OF SOUTH NORFOLK, INC.

Practice address

789 Clapboardtree St
Westwood, MA 02090-1717

Phone

(781) 762-4001

Fax

(781) 461-5950

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark H Marot

Title

Chief Financial Officer

Phone

(781) 762-4001

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Harbor Counseling Center Other name

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1154378834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CLAPBOARDTREE ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901717",
            "telephone_number": "781-762-4001",
            "fax_number": "781-461-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CLAPBOARDTREE ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901717",
            "telephone_number": "781-762-4001",
            "fax_number": "781-461-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF SOUTH NORFOLK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "MAROT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "781-762-4001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MA",
            "license": "4386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH",
            "identifier": "1005005",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309471",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "972092",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTH NET PLAN",
            "identifier": "00000008446",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC - VALUE OPTIONS",
            "identifier": "001353",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "735314",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "1005005",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "M18519",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS SECURE HORIZONS",
            "identifier": "735314",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual & Developmental Disabilities Psychologist in Westwood, MA
• Providers in Westwood, MA by specialty
• Intellectual & Developmental Disabilities Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.