Active NPI
Till Inc
- Community/Behavioral Health Agency
- Mansfield, MA
National Provider Identifier
1356899520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TILL INC
- Practice address
- 272 Elm Ter
Mansfield, MA 02048-2641 - Phone
- (781) 302-4659
- NPI assigned
- Sep 16, 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
- Elizabeth Bonnyman, MED
- Title
- Behavior Therapist
- Phone
- (781) 302-4659
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
272 Elm Ter
Mansfield, MA 02048-2641
Mailing address
272 Elm Ter
Mansfield, MA 02048-2641
Phone (781) 302-4659
National Provider Directory
National Provider Directory- Tax ID family
- Community Care Services
Organizations with this tax ID in the same state 19
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
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-
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- Rehabilitation Hospital Unit
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-
- Early Intervention Provider Agency
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473984000000",
"number": "1356899520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 ELM TER",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482641",
"telephone_number": "781-302-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 ELM TER",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482641",
"telephone_number": "781-302-4659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TILL INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-16",
"last_updated": "2016-09-16",
"status": "A",
"authorized_official_last_name": "BONNYMAN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "BEHAVIOR THERAPIST",
"authorized_official_telephone_number": "781-302-4659",
"authorized_official_credential": "MED"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.