NPIMap

Organization Active NPI

Northeast Arc, Inc.

Doing business as North Shore Arc

  • Early Intervention Provider Agency
  • Danvers, MA
National Provider Identifier
1184849606
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
NORTHEAST ARC, INC.
Doing business as
North Shore Arc
Practice address
100 Independence Way
Danvers, MA 01923-3626
Phone
(978) 774-7570
Fax
(978) 777-6149
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Cynthia Park
Title
Cfo
Phone
(978) 624-2445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

100 Independence Way
Danvers, MA 01923-3626

Mailing address

1 Southside Rd
Danvers, MA 01923-1408
Phone (978) 762-4878

Other identifiers 2

IdentifierTypeStateIssuer
1801686MedicaidMA
1802984MedicaidMA

Other names 2

  • North Shore Arc Doing business as
  • Northeast Arc Early Intervention North Shore Other name

National Provider Directory

National Provider Directory
Tax ID family
Northeast Arc Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

100 Independence Way
Danvers, MA 01923
Phone (978) 762-4878

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1184849606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTHSIDE RD",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231408",
            "telephone_number": "978-762-4878",
            "fax_number": "978-777-6149"
        },
        {
            "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": "978-774-7570",
            "fax_number": "978-777-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ARC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-624-2445"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801686",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802984",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Arc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Shore Arc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeast Arc Early Intervention North Shore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 14, 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.

Verify at the official NPI Registry.