Active NPI
Michael James Molloy, BCBA
- Behavior Analyst
- Taunton, MA
National Provider Identifier
1215602404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-66707
- Practice address
- 200 Myles Standish Blvd Ste 2
Taunton, MA 02780-7371 - Phone
- (877) 219-9391
- NPI assigned
- Aug 10, 2021
- Last updated
- Jul 12, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-66707 | MA | Primary |
Addresses
Primary practice location
200 Myles Standish Blvd Ste 2
Taunton, MA 02780-7371
Mailing address
9 Old Highway 63 S Apt 17
Columbia, MO 65201-6087
Phone (774) 571-3294
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": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1215602404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 OLD HIGHWAY 63 S APT 17",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016087",
"telephone_number": "774-571-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MYLES STANDISH BLVD STE 2",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027807371",
"telephone_number": "877-219-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLOY",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-10",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-23-66707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.