Active NPI
John W Baldessarini, M.ED.
- Mental Health Counselor
- Framingham, MA
National Provider Identifier
1336454859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S37647914
- Practice address
- 1 Frederick Abbott Way
Framingham, MA 01701-7992 - Phone
- (508) 620-0010
- Fax
- (508) 875-1439
- NPI assigned
- Aug 9, 2010
- Last updated
- Aug 9, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S37647914 | MA | Primary |
Addresses
Primary practice location
1 Frederick Abbott Way
Framingham, MA 01701-7992
Mailing address
1 Frederick Abbott Way
Framingham, MA 01701-7992
Phone (508) 620-0010
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
| License | State | Type | Specialty |
|---|---|---|---|
| S37647914 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayside Youth and Family Support Network | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Framingham, MA
- NPI 1851484505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1336454859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FREDERICK ABBOTT WAY",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017017992",
"telephone_number": "508-620-0010",
"fax_number": "508-875-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FREDERICK ABBOTT WAY",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017017992",
"telephone_number": "508-620-0010",
"fax_number": "508-875-1439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDESSARINI",
"first_name": "JOHN",
"middle_name": "W",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-09",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "S37647914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.