Academic & Behavioral Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4D1R Issued in MA

Legal business name

ACADEMIC & BEHAVIORAL CLINIC

Practice address

995 Blue Hill Ave
Dorchester Center, MA 02124-2828

Phone

(617) 822-0829

Fax

(617) 825-7804

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Terri Betts

Title

Executive Director

Phone

(617) 822-0829

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1265645261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190789",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021190015",
            "telephone_number": "617-822-0829",
            "fax_number": "617-825-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 BLUE HILL AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242828",
            "telephone_number": "617-822-0829",
            "fax_number": "617-825-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC & BEHAVIORAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-822-0829",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "4D1R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "1073500",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS BEHAVIORAL PARTNERSHIP",
            "identifier": "1301462",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "W10655",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Academic & Behavioral Assessment Center
• Adams Village Chiropractic, Inc.
• Olanrewaju Adekeye, LMHC
• Ijeoma Joyce Akubuezeiwunze, NP
• Suyapa Beatrice Allen, M.F.T.
• Olivia M Apollon, MSW

• Community/Behavioral Health Agency in Dorchester Center, MA
• Providers in Dorchester Center, 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 Feb 16, 2012; 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.