Organization Active NPI

Humanitas LLC

  • Behavior Analyst
  • Brighton, MA
National Provider Identifier
1457084295
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HUMANITAS LLC
Practice address
63 Nonantum St
Brighton, MA 02135-2470
Phone
(857) 763-4200
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Mr. Mario C Gonzales
Title
Administrator
Phone
(774) 279-2149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

63 Nonantum St
Brighton, MA 02135-2470

Mailing address

75 State St Ste 100
Boston, MA 02109-1826
Phone (857) 763-4200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1457084295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 STATE ST STE 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091826",
            "telephone_number": "857-763-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 NONANTUM ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352470",
            "telephone_number": "857-763-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANITAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "774-279-2149",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.