Organization Active NPI

Ontraack Coaching & Consulting

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1447636204
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100322 Issued in MA
Legal business name
ONTRAACK COACHING & CONSULTING
Practice address
60 Austin Street Suite 101
Newton, MA 02460
Phone
(617) 306-9352
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Ms. Marilyn Edelson, M.S.W.NPI 1114972866
Title
President
Phone
(617) 964-3202

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 100322 MA Primary

Addresses

Primary practice location

60 Austin Street Suite 101
Newton, MA 02460

Mailing address

90 Washington Park
Newton, MA 02460-1919
Phone (617) 964-3202

National Provider Directory

National Provider Directory
Tax ID family
Ontraack Coaching Consulting2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

60 Austin St
Ste 101
Newtonville, MA 02460
Phone (617) 735-7044

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": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1447636204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON PARK",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601919",
            "telephone_number": "617-964-3202",
            "fax_number": "617-964-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 AUSTIN STREET SUITE 101",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02460",
            "telephone_number": "617-306-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTRAACK COACHING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "EDELSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-964-3202",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "100322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2015; 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.