Active NPI
Institute for Emerging Adulthood
- Community/Behavioral Health Agency
- Northampton, MA
National Provider Identifier
1336684810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 119026
- Legal business name
- INSTITUTE FOR EMERGING ADULTHOOD
- Practice address
- 25 Main St Ste 218
Northampton, MA 01060-3130 - Phone
- (413) 279-4984
- NPI assigned
- Dec 20, 2016
- Last updated
- Dec 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaycelle Monsanto Pequet, LICSW
- Title
- Director
- Phone
- (413) 279-4984
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 119026 | MA | Primary |
Addresses
Primary practice location
25 Main St Ste 218
Northampton, MA 01060-3130
Mailing address
25 Main St Ste 218
Northampton, MA 01060-3130
Phone (413) 279-4984
National Provider Directory
National Provider DirectoryLocations
25 Main St
Ste 218
Northampton, MA 01060
Phone (413) 210-8318
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Northampton, MA
- NPI 1154848505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482192000000",
"number": "1336684810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MAIN ST STE 218",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603130",
"telephone_number": "413-279-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MAIN ST STE 218",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603130",
"telephone_number": "413-279-4984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTE FOR EMERGING ADULTHOOD",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-20",
"last_updated": "2016-12-20",
"status": "A",
"authorized_official_last_name": "PEQUET",
"authorized_official_first_name": "JAYCELLE",
"authorized_official_middle_name": "MONSANTO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "413-279-4984",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MA",
"license": "119026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
- Francis Nash Iglehart, PH.D.
- In Wellness, LLC
- Jay Hamkins Indik, LICSW
- Tracey Ingle, LICSW
- Inspired Action Inc. (Alchemy Healing Center)
- Institute for Emerging Adulthood Inc
- Institute of Human Solutions LLC (IHS)
- Roberto A. Irizarry, PHD.-COUNSELING PSYC
- Isbister Acupuncture LLC
- Lara Sarah Ismail, L.I.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.