NPIMap

Organization Active NPI

Integrated Learning Academy Newton

  • Speech-Language Pathologist
  • Newton, MA
National Provider Identifier
1376989996
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7986 Issued in MA
Legal business name
INTEGRATED LEARNING ACADEMY NEWTON
Practice address
109 Oak St Ste G-10
Newton, MA 02464-1492
Phone
(617) 467-4523
Fax
(617) 916-5081
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Mrs. Mariela Vargas, PSYD, BCBA-D
Title
Executive Director
Phone
(617) 467-4038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 7986 MA Primary

Addresses

Primary practice location

109 Oak St Ste G-10
Newton, MA 02464-1492

Mailing address

109 Oak St Ste G-10
Newton, MA 02464-1492
Phone (617) 467-4523

Other names 1

  • Applied Behavioral Learning Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Applied Behavioral Learning Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

109 Oak St
Ste G10
Newton Upper Falls, MA 02464
Phone (617) 916-5573

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1376989996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OAK ST STE G-10",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641492",
            "telephone_number": "617-467-4523",
            "fax_number": "617-916-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OAK ST STE G-10",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641492",
            "telephone_number": "617-467-4523",
            "fax_number": "617-916-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED LEARNING ACADEMY NEWTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-467-4038",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSYD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Applied Behavioral Learning Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.