Individual provider Active NPI

Maria Elena Katerina Druan

  • Behavior Analyst
  • Lunenburg, MA
National Provider Identifier
1225453293
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
132 Robbs Hill Rd
Lunenburg, MA 01462-2167
Phone
(774) 270-1766
Fax
(508) 861-0206
NPI assigned
Feb 27, 2014
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

132 Robbs Hill Rd
Lunenburg, MA 01462-2167

Mailing address

33 Fairview Ave
Pembroke, MA 02359-2917
Phone (617) 816-4757

Other practice location 1

33 Fairview Ave
Pembroke, MA 02359-2917
Phone (617) 816-4757

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Autism Connections, LLC Behavior Analyst CurrentSince Dec 29, 2019 Accepting new patients
South Shore Mental Health Center, Inc. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mariaelenadruan@ssmh.netsmartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1225453293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FAIRVIEW AVE",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023592917",
            "telephone_number": "617-816-4757",
            "fax_number": "781-754-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ROBBS HILL RD",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014622167",
            "telephone_number": "774-270-1766",
            "fax_number": "508-861-0206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "MA",
            "postal_code": "023592917",
            "country_code": "US",
            "telephone_number": "617-816-4757",
            "fax_number": "781-754-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRUAN",
        "first_name": "MARIA ELENA",
        "middle_name": "KATERINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lunenburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.