Active NPI
Jennifer L Comeau
- Developmental Therapist
- Stoughton, MA
National Provider Identifier
1306023890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 299800
- Practice address
- 76 Stoughton St
Stoughton, MA 02072-1727 - Phone
- (781) 696-2281
- NPI assigned
- Jan 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 299800 | MA | Primary |
Addresses
Primary practice location
76 Stoughton St
Stoughton, MA 02072-1727
Mailing address
76 Stoughton St
Stoughton, MA 02072-1727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299800 | Other | MA | TEACHER |
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 |
|---|---|---|---|
| 299800 | MA | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201392000000",
"number": "1306023890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 STOUGHTON ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020721727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 STOUGHTON ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020721727",
"telephone_number": "781-696-2281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMEAU",
"first_name": "JENNIFER",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-27",
"last_updated": "2008-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "MA",
"license": "299800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER",
"identifier": "299800",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.