Jessica Bates

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1024 Issued in MA

Practice address

33 Turnpike Rd
Southborough, MA 01772

Phone

(508) 954-8627

NPI assigned

Feb 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The New England Center for Children, Inc.

  • Community/Behavioral Health Agency
  • Southborough, MA
  • NPI 1629193776
  NPD (past)

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1447438742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TURNPIKE RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 TURNPIKE RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "01772",
            "telephone_number": "508-954-8627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Highridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "MA",
            "postal_code": "02019",
            "country_code": "US",
            "telephone_number": "508-883-1264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Highridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "MA",
            "postal_code": "02019",
            "country_code": "US",
            "telephone_number": "508-883-1264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "4550",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iphigenia A. Balodimos, M.D.
• Meagan Barber
• Kailyn Barge
• Veronica Corcoran Barila, LICSW
• Katrina Barry
• Matthew John Bean, M.D.
• Sarah Bechta, M.D.
• Kimberly Beck, PT
• Jamil Beecher
• Soo Leng Beh

• Behavior Analyst in Southborough, MA
• Providers in Southborough, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.