Active NPI
Donna Phelps, BCBA, LABA
- Behavior Analyst
- North Andover, MA
National Provider Identifier
1285058776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 611
- Practice address
- 200 Sutton St Ste 120
North Andover, MA 01845-1651 - Phone
- (774) 206-1125
- NPI assigned
- Feb 5, 2014
- Sex
- Female
- 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 | 611 | MA | Primary |
Addresses
Primary practice location
200 Sutton St Ste 120
North Andover, MA 01845-1651
Mailing address
5 Hidden Ponds Dr
East Longmeadow, MA 01028-1242
Phone (413) 335-9030
Other practice location 1
2374 Post Rd Ste 107
Warwick, RI 02886-2270
Phone (774) 206-1125
Other practice location 2
1 Radisson Plz # 8
New Rochelle, NY 10801-5766
Phone (774) 206-1125
Other practice location 3
340 Granite St Fl 3
Manchester, NH 03102-4000
Phone (774) 206-1125
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 611 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Behavioral Associates Inc. | Past | Accepting new patients | |
| Northeast Family Services of New Hampshire, Inc. | Past | Accepting new patients | |
| Northeast Behavioral Associates | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Child & Adolescent Psychologist
- North Andover, MA
- NPI 1659382315
-
- Community/Behavioral Health Agency
- North Dartmouth, MA
- NPI 1346692936
-
- Community/Behavioral Health Agency
- Manchester, NH
- NPI 1609348465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1285058776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HIDDEN PONDS DR",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010281242",
"telephone_number": "413-335-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SUTTON ST STE 120",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018451651",
"telephone_number": "774-206-1125"
}
],
"practiceLocations": [
{
"address_1": "2374 Post Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862270",
"country_code": "US",
"telephone_number": "774-206-1125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Radisson Plz # 8",
"address_purpose": "LOCATION",
"city": "New Rochelle",
"state": "NY",
"postal_code": "108015766",
"country_code": "US",
"telephone_number": "774-206-1125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 Granite St Fl 3",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031024000",
"country_code": "US",
"telephone_number": "774-206-1125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHELPS",
"first_name": "DONNA",
"credential": "BCBA, LABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.