NPIMap

Organization Active NPI

Behavioral Nutrition, Inc

  • Registered Dietitian
  • Quincy, MA
National Provider Identifier
1376965905
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3475 Issued in MA
Legal business name
BEHAVIORAL NUTRITION, INC
Practice address
1266 Furnace Brook Pkwy
Suite 404
Quincy, MA 02169-4758
Phone
(617) 595-7044
Fax
(888) 434-5097
NPI assigned
Jan 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Ms. Michele Quinlan, LMHC
Title
Director of Clinical Services
Phone
(617) 595-7044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 3475 MA Primary

Addresses

Primary practice location

1266 Furnace Brook Pkwy
Suite 404
Quincy, MA 02169-4758

Mailing address

1266 Furnace Brook Pkwy
Suite 404
Quincy, MA 02169-4758
Phone (617) 595-7044

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Nutrition Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1266 Furnace Brook Pkwy
Ste 404
Quincy, MA 02169
Phone (617) 595-7044

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1376965905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 FURNACE BROOK PKWY",
            "address_2": "SUITE 404",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694758",
            "telephone_number": "617-595-7044",
            "fax_number": "888-434-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 FURNACE BROOK PKWY",
            "address_2": "SUITE 404",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694758",
            "telephone_number": "617-595-7044",
            "fax_number": "888-434-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL NUTRITION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "617-595-7044",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.