Bamsi

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

11862 Issued in MA

Legal business name

BAMSI

Practice address

801 Pleasant St
Brockton, MA 02301-3052

Phone

(508) 586-5977

NPI assigned

May 3, 2016

Organization subpart

No

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

Authorized official

Name

Genevieve Mudd, OTR/L

Title

Occupational Therapist

Phone

(508) 586-5977

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1184079634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013052",
            "telephone_number": "508-586-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013052",
            "telephone_number": "508-586-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMSI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "MUDD",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "508-586-5977",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MA",
            "license": "11862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Balcius-Sullivan, CLPN
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• Susan K Banez, M.D.
• Kathryn Jean Bangerter, MSW LICSW
• Long Gia Banh, LCSW, MSW
• Matthew D Banks, PA-C

• Early Intervention Provider Agency in Brockton, MA
• Providers in Brockton, MA by specialty
• Early Intervention Provider Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.