Active NPI
Clifford Exilhomme
- Counselor
- Salem, MA
National Provider Identifier
1346662632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 12 Pope St
Salem, MA 01970-2106 - Phone
- (978) 397-9800
- NPI assigned
- Jan 6, 2014
- Last updated
- Jan 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
12 Pope St
Salem, MA 01970-2106
Mailing address
12 Pope St
Salem, MA 01970-2106
Phone (978) 397-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042104791 | Medicaid | MA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1346662632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 POPE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019702106",
"telephone_number": "978-397-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 POPE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019702106",
"telephone_number": "978-397-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXILHOMME",
"first_name": "CLIFFORD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042104791",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.