Active NPI
Julia Freni
- Developmental Disabilities Clinic/Center
- Danvers, MA
National Provider Identifier
1164105094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Practice address
- 100 Independence Way
Danvers, MA 01923-3626 - Phone
- (978) 762-4878
- NPI assigned
- Aug 8, 2023
- Last updated
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | NU | Primary |
Addresses
Primary practice location
100 Independence Way
Danvers, MA 01923-3626
Mailing address
37 Madison St
Revere, MA 02151-5802
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 |
|---|---|---|---|
| Northeast Arc, Inc. | Developmental Disabilities | Current | Accepting new patients |
Locations
100 Independence Way
Danvers, MA 01923
Phone (978) 762-4878
Organizations & group practices 1
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.
-
dba North Shore Arc
- Early Intervention Provider Agency
- Danvers, MA
- NPI 1184849606
Developmental Disabilities
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1164105094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MADISON ST",
"city": "REVERE",
"state": "MA",
"postal_code": "021515802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 INDEPENDENCE WAY",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233626",
"telephone_number": "978-762-4878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRENI",
"first_name": "JULIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.