NPIMap

Organization Active NPI

Academic & Behavioral Assessment Center

  • Community/Behavioral Health Agency
  • Dorchester Center, MA
National Provider Identifier
1417160367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ACADEMIC & BEHAVIORAL ASSESSMENT CENTER
Practice address
895 Blue Hill Ave
Dorchester Center, MA 02124-2902
Phone
(617) 822-0829
Fax
(617) 825-7804
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Terri Betts, PSY.DNPI 1730392812
Title
Executive Director
Phone
(617) 822-0829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

895 Blue Hill Ave
Dorchester Center, MA 02124-2902

Mailing address

PO Box 190789
Roxbury, MA 02119-0015
Phone (617) 822-0829

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417160367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190789",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021190015",
            "telephone_number": "617-822-0829",
            "fax_number": "617-825-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 BLUE HILL AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242902",
            "telephone_number": "617-822-0829",
            "fax_number": "617-825-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC & BEHAVIORAL ASSESSMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-822-0829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.