Organization Active NPI

Institute for Emerging Adulthood

  • Community/Behavioral Health Agency
  • Northampton, MA
National Provider Identifier
1336684810
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
119026 Issued in MA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.