Individual provider Active NPI

Neila Berthe Rene

  • Doula
  • Brockton, MA
National Provider Identifier
1447862446
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
15 Longworth Ave Unit 223
Brockton, MA 02301-7086
Phone
(617) 735-5818
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X
Doula 374J00000X MA Primary

Addresses

Primary practice location

15 Longworth Ave Unit 223
Brockton, MA 02301-7086

Mailing address

15 Longworth Ave Unit 223
Brockton, MA 02301-7086
Phone (617) 735-5818

Other practice location 1

10 Gill St Ste J
Woburn, MA 01801-1721
Phone (617) 505-6183

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Neila.Rene@bciaba.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Concepts CurrentSince Dec 22, 2020 Accepting new patients
Abacs, LLC Single Specialty PastSince Aug 1, 2020 Accepting new patients

Locations

10 Gill St
#J
Woburn, MA 01801
Phone (617) 505-6183

Interoperability endpoints

  • Direct secure messaging: neila.rene@bciaba.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1447862446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LONGWORTH AVE UNIT 223",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017086",
            "telephone_number": "617-735-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LONGWORTH AVE UNIT 223",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017086",
            "telephone_number": "617-735-5818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Gill St Ste J",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018011721",
            "country_code": "US",
            "telephone_number": "617-505-6183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENE",
        "first_name": "NEILA",
        "middle_name": "BERTHE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Neila.Rene@bciaba.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "345A Greenwood St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016071753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.