Individual provider Active NPI

Casey Elizabeth Corr

  • Behavior Technician
  • Worcester, MA
National Provider Identifier
1194337386
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
345A Greenwood St
Worcester, MA 01607-1753
Phone
(508) 846-7634
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

345A Greenwood St
Worcester, MA 01607-1753

Mailing address

43 Rowena Ave
Whitman, MA 02382-2543
Phone (508) 846-7634

Other practice location 1

43 Rowena Ave
Whitman, MA 02382-2543
Phone (508) 846-7634

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

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1194337386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 ROWENA AVE",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023822543",
            "telephone_number": "508-846-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345A GREENWOOD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071753",
            "telephone_number": "508-846-7634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Rowena Ave",
            "address_purpose": "LOCATION",
            "city": "Whitman",
            "state": "MA",
            "postal_code": "023822543",
            "country_code": "US",
            "telephone_number": "508-846-7634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORR",
        "first_name": "CASEY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.