Active NPI
Tevin Yi
- Behavior Analyst
- Bedford, MA
National Provider Identifier
1255986352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 205 Burlington Rd
Bedford, MA 01730-1406 - Phone
- (781) 862-3600
- Fax
- (781) 275-7205
- NPI assigned
- Aug 6, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-58266 | ||
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
205 Burlington Rd
Bedford, MA 01730-1406
Mailing address
205 Burlington Rd
Bedford, MA 01730-1406
Phone (781) 862-3600
Other practice location 1
360 Route 101 Ste 11
Bedford, NH 03110-5031
Phone (603) 471-2522
Other practice location 2
13 Branch St Ste 203
Methuen, MA 01844-1900
Phone (978) 655-9064
Other practice location 3
2299 Woodbury Ave Ste 1
Newington, NH 03801-7854
Phone (603) 294-0649
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004745 | Other | MA | NHP |
| 1004745 | Other | MA | FALLON |
| 0000023532 | Other | MA | BMC |
| 1303287 | Other | MA | MBHP |
| 042611055 | Other | MA | TAX ID |
| 99618201 | Other | MA | NETWORK HEALTH |
| M18633 | Other | MA | BCBS |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Bridges LLC | Behavior Analyst | Past | Accepting new patients |
| The Edinburg Center Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Bedford, MA
- NPI 1073617353
-
- Behavior Analyst
- Bedford, NH
- NPI 1205131596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1255986352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BURLINGTON RD",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301406",
"telephone_number": "781-862-3600",
"fax_number": "781-275-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BURLINGTON RD",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301406",
"telephone_number": "781-862-3600",
"fax_number": "781-275-7205"
}
],
"practiceLocations": [
{
"address_1": "360 Route 101 Ste 11",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "NH",
"postal_code": "031105031",
"country_code": "US",
"telephone_number": "603-471-2522",
"fax_number": "877-754-5246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13 Branch St Ste 203",
"address_purpose": "LOCATION",
"city": "Methuen",
"state": "MA",
"postal_code": "018441900",
"country_code": "US",
"telephone_number": "978-655-9064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2299 Woodbury Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Newington",
"state": "NH",
"postal_code": "038017854",
"country_code": "US",
"telephone_number": "603-294-0649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YI",
"first_name": "TEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-22-58266",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "1004745",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1004745",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "0000023532",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "1303287",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "042611055",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "99618201",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M18633",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.