NPIMap

Organization Active NPI

Habit Opco

  • Community/Behavioral Health Agency
  • East Wareham, MA
National Provider Identifier
1396056347
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HABIT OPCO
Practice address
3086 Cranberry Hwy
East Wareham, MA 02538-4801
Phone
(508) 295-7990
Fax
(508) 295-3781
NPI assigned
Jun 24, 2010
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Mr. Frederick Riley, LADAC
Title
Program Director
Phone
(508) 295-7990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3086 Cranberry Hwy
East Wareham, MA 02538-4801

Mailing address

3086 Cranberry Hwy
East Wareham, MA 02538-4801
Phone (508) 295-7990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1396056347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 CRANBERRY HWY",
            "city": "EAST WAREHAM",
            "state": "MA",
            "postal_code": "025384801",
            "telephone_number": "508-295-7990",
            "fax_number": "508-295-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3086 CRANBERRY HWY",
            "city": "EAST WAREHAM",
            "state": "MA",
            "postal_code": "025384801",
            "telephone_number": "508-295-7990",
            "fax_number": "508-295-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABIT OPCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "508-295-7990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.