NPIMap

Organization Active NPI

Ahimsa Center for Growth and Development

  • Clinical Social Worker
  • Milton, MA
National Provider Identifier
1235396342
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AHIMSA CENTER FOR GROWTH AND DEVELOPMENT
Practice address
464 Granite Ave
Suite 25
Milton, MA 02186-5625
Phone
(617) 698-0991
Fax
(617) 698-1274
NPI assigned
May 19, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Jeffrey Bradley, LICSWNPI 1801941554
Title
Owner
Phone
(617) 698-0998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 6

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

National Provider Directory

National Provider Directory

Locations

464 Granite Ave
Ste 25
Milton, MA 02186
Phone (617) 698-0991

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 46623 MA

Addresses

NPPES NPI Registry

Primary practice location

464 Granite Ave
Suite 25
Milton, MA 02186-5625

Mailing address

464 Granite Ave
Suite 25
Milton, MA 02186-5625
Phone (617) 698-0991

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2008.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1235396342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 GRANITE AVE",
            "address_2": "SUITE 25",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865625",
            "telephone_number": "617-698-0991",
            "fax_number": "617-698-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 GRANITE AVE",
            "address_2": "SUITE 25",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865625",
            "telephone_number": "617-698-0991",
            "fax_number": "617-698-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHIMSA CENTER FOR GROWTH AND DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-698-0998",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "46623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.