Minuteman Arc Early Intervention Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

042-269-230 Issued in MA

Legal business name

MINUTEMAN ARC EARLY INTERVENTION PROGRAM

Practice address

1269 Main St
Concord, MA 01742-3099

Phone

(978) 287-7800

NPI assigned

Nov 23, 2007

Last updated

Nov 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila M Nobrega, B.S.

Title

Developmental Specialist

Phone

(978) 287-7826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1205017886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423099",
            "telephone_number": "978-287-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423099",
            "telephone_number": "978-287-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTEMAN ARC EARLY INTERVENTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "NOBREGA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DEVELOPMENTAL SPECIALIST",
        "authorized_official_telephone_number": "978-287-7826",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "042-269-230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minute Man Arc Early Intervention Program
• Minute Man Arc for Human Services, Inc.
• Minute Man Arc for Human Services, Inc.
• Minute Man Arc for Human Services, Inc.
• Minuteman Arc
• Steven M Mirin, M.D.
• Sarah A Mistretta, M.S., CCC-SLP
• Kristin L Mix, DMD
• Nancy P Mizzoni, N.P.
• Zina Model, MD

• Community/Behavioral Health Agency in Concord, MA
• Providers in Concord, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.