NPIMap

Organization Active NPI

First-Class Behavioral & Counseling Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, MA
National Provider Identifier
1336870864
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FIRST-CLASS BEHAVIORAL & COUNSELING SERVICES
Practice address
1017 Turnpike St
Units 31a, 32a ,33
Canton, MA 02021
Phone
(781) 236-7343
Fax
(781) 806-1026
NPI assigned
Jun 24, 2022
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Yveda Brutus, PMHNPNPI 1811532724
Title
Owner
Phone
(857) 719-6538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1017 Turnpike St
Units 31a, 32a ,33
Canton, MA 02021

Mailing address

1017 Turnpike St
Units 32a & 33
Canton, MA 02021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220810003645 MA Part B Supplier - Clinic/Group Practice 5395128276 Receives reassigned benefits from 16 practitioners
Practice locations: Canton, MA

National Provider Directory

National Provider Directory

Locations

1017 Turnpike St
#31A
Canton, MA 02021
Phone (781) 236-7343

1017 Turnpike St
#32A
Canton, MA 02021
Phone (781) 236-7343

1017 Turnpike St
Ste 32A
Canton, MA 02021
Phone (781) 236-7343

1017 Turnpike St
Unit 32A
Canton, MA 02021

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1336870864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST",
            "address_2": "UNITS 32A & 33",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "02021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST",
            "address_2": "UNITS 31A, 32A ,33",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "02021",
            "telephone_number": "781-236-7343",
            "fax_number": "781-806-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST-CLASS BEHAVIORAL & COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "BRUTUS",
        "authorized_official_first_name": "YVEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-719-6538",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.