Active NPI
Till Inc
- Community/Behavioral Health Agency
- Dorchester, MA
National Provider Identifier
1366990533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TILL INC
- Practice address
- 78 King St
Dorchester, MA 02122-2438 - Phone
- (781) 302-4659
- NPI assigned
- Sep 16, 2016
- Last updated
- 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
- Yasenia Dudley, MA
- Title
- Behavior Therapist
- Phone
- (781) 302-4659
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
78 King St
Dorchester, MA 02122-2438
Mailing address
78 King St
Dorchester, MA 02122-2438
Phone (781) 302-4659
National Provider Directory
National Provider Directory- Tax ID family
- Cape Cod Anesthesia Associates
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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": "1366990533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 KING ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021222438",
"telephone_number": "781-302-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 KING ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021222438",
"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": "DUDLEY",
"authorized_official_first_name": "YASENIA",
"authorized_official_title_or_position": "BEHAVIOR THERAPIST",
"authorized_official_telephone_number": "781-302-4659",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, 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.