Active NPI
Nina Thomas, BCBA
- Behavior Analyst
- Needham Heights, MA
National Provider Identifier
1457811341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2100
- Practice address
- 140 Gould St
Needham Heights, MA 02494-2397 - Phone
- (781) 433-9890
- Fax
- (781) 433-9893
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2100 | MA | Primary |
Addresses
Primary practice location
140 Gould St
Needham Heights, MA 02494-2397
Mailing address
140 Gould St
Needham Heights, MA 02494-2397
Phone (781) 433-9890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083940787 | Other | MA | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msundheimer@confidenceconnection.org | Confidence Connection |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2100 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1457811341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 GOULD ST",
"city": "NEEDHAM HEIGHTS",
"state": "MA",
"postal_code": "024942397",
"telephone_number": "781-433-9890",
"fax_number": "781-433-9893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 GOULD ST",
"city": "NEEDHAM HEIGHTS",
"state": "MA",
"postal_code": "024942397",
"telephone_number": "781-433-9890",
"fax_number": "781-433-9893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "NINA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "2100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1083940787",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msundheimer@confidenceconnection.org",
"affiliation": "Y",
"affiliationName": "Confidence Connection",
"address_1": "140 Gould St",
"city": "Needham Heights",
"state": "MA",
"country_code": "US",
"postal_code": "024942397",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Needham Heights, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.