Individual provider Active NPI

Nicole Marie Kantor, M.ED., G.C.ABA, CAN.

  • Community/Behavioral Health Agency
  • Newton, MA
National Provider Identifier
1326587288
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
182 Church St Apt 3
Newton, MA 02458-1962
Phone
(413) 281-0999
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 1326587288 MA
Developmental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 222Q00000X
Health Service Clinic/Center 261QH0100X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

182 Church St Apt 3
Newton, MA 02458-1962

Mailing address

182 Church St Apt 3
Newton, MA 02458-1962
Phone (413) 281-9999

Other practice location 1

1660 Soldiers Field Rd
Brighton, MA 02135-1108
Phone (413) 281-0999

Other practice location 2

70 union street apt 2
brighton, MA 02135
Phone (413) 281-0999

Other practice location 3

60 Gibson St Apt 210
Dorchester, MA 02122-1245
Phone (413) 281-0999

Other identifiers 1

IdentifierTypeStateIssuer
1326587288OtherMANPI

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1326587288MAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1326587288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 CHURCH ST APT 3",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581962",
            "telephone_number": "413-281-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 CHURCH ST APT 3",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581962",
            "telephone_number": "413-281-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Soldiers Field Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021351108",
            "country_code": "US",
            "telephone_number": "413-281-0999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 union street apt 2",
            "address_purpose": "LOCATION",
            "city": "brighton",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "413-281-0999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Gibson St Apt 210",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021221245",
            "country_code": "US",
            "telephone_number": "413-281-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.ED., G.C.ABA, CAN.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": "1326587288",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326587288",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.