Individual provider Active NPI

Raphael Nogueira Rodrigues, BA

  • Behavior Technician
  • Marlborough, MA
National Provider Identifier
1346865219
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
230 Maple St
Marlborough, MA 01752-3348
Phone
(508) 480-0092
NPI assigned
Jun 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

230 Maple St
Marlborough, MA 01752-3348

Mailing address

230 Maple St
Marlborough, MA 01752-3348
Phone (508) 480-0092

Other practice location 1

7 Bishop St Bldg 29
Framingham, MA 01702-8323
Phone (508) 879-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260513000768 MA Practitioner - Mental Health Counselor 2769951367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1881 Worcester Rd
Framingham, MA 01701-5410

278 Manning St
Unit 1203
Hudson, MA 01749-1039

360 Merrimack St
Suite 9
Lawrence, MA 01843-1798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
South Middlesex Opportunity Council Inc CurrentSince Jun 21, 2020 Accepting new patients

Locations

7 Bishop St
Bldg 29
Framingham, MA 01702
Phone (508) 879-2250

230 Maple St
Marlborough, MA 01752
Phone (508) 480-0092

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1346865219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523348",
            "telephone_number": "508-480-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523348",
            "telephone_number": "508-480-0092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Bishop St Bldg 29",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017028323",
            "country_code": "US",
            "telephone_number": "508-879-2250",
            "fax_number": "508-620-2637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "RAPHAEL",
        "middle_name": "NOGUEIRA",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.