Shindigz Parties LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHINDIGZ PARTIES LLC

Practice address

31 Schoosett St Unit 201
Pembroke, MA 02359-1877

Phone

(508) 847-5730

NPI assigned

Jul 20, 2019

Organization subpart

Yes

Parent organization

SHINDIGZ PARTIES LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Julianne Mackinnon, BEHAVIOR ANALYSTNPI 1619320124

Title

Owner

Phone

(508) 847-5730

Specialties & licenses 1

Addresses

Other names 1

• Full Spectrum Care Doing business as

Part of

Shindigz Parties LLC

Locations

Practitioners 1

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

• Julianne Mackinnon, M.ED, ED.S, BCBA

  • Behavior Analyst
  • Marshfield, MA
  • NPI 1619320124
  NPD (past) Authorized official

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563580800000",
    "number": "1306499181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALYPSO LN",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020503601",
            "telephone_number": "781-837-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SCHOOSETT ST UNIT 201",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591877",
            "telephone_number": "508-847-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINDIGZ PARTIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHINDIGZ PARTIES LLC",
        "enumeration_date": "2019-07-20",
        "last_updated": "2019-07-20",
        "status": "A",
        "authorized_official_last_name": "MACKINNON",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-847-5730",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BEHAVIOR ANALYST"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Spectrum Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Howard Selesnick, MD
• Naveed Ahmed Shaikh, MD
• Shanna Townley LMHC LLC
• Leah Christine Shepherd, CNP
• Linda Sheppard-Reece, PMHNP-BC
• Julia Sifferlen
• Dana Simons
• Wilson Situ, PA-C
• Kiley Smiddy
• Carole J. Smith, MD

• Behavior Analyst in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.