Individual provider Active NPI

Michael Takpor Luo

  • Behavior Technician
  • Attleboro, MA
National Provider Identifier
1457962896
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
33 Perry Ave
Attleboro, MA 02703-2417
Phone
(508) 455-6200
NPI assigned
Aug 10, 2020
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

33 Perry Ave
Attleboro, MA 02703-2417

Mailing address

24 Tweed St
Pawtucket, RI 02861-1772
Phone (401) 365-0508

Other identifiers 1

IdentifierTypeStateIssuer
40006841OtherRIDRIVER'S LICENSE

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address jcallfregeau@amegoinc.org
Direct Messaging Address ssolecki@amegoinc.org Direct
Direct Messaging Address vzanghi-brown@westbayri.org
Direct Messaging Address Asuenaert@sevenhills.org

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

Interoperability endpoints

  • Direct secure messaging: asuenaert@sevenhills.org
  • Direct secure messaging: jcallfregeau@amegoinc.org
  • Direct secure messaging: ssolecki@amegoinc.org
  • Direct secure messaging: vzanghi-brown@westbayri.org

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1457962896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 TWEED ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611772",
            "telephone_number": "401-365-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PERRY AVE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032417",
            "telephone_number": "508-455-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "MICHAEL",
        "middle_name": "TAKPOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "40006841",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcallfregeau@amegoinc.org",
            "affiliation": "N",
            "address_1": "33 Perry Ave",
            "city": "Attleboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027032417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssolecki@amegoinc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Direct care",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24 Tweed St",
            "city": "Pawtucket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028611772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vzanghi-brown@westbayri.org",
            "affiliation": "N",
            "address_1": "158 Knight St",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028861225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Asuenaert@sevenhills.org",
            "affiliation": "N",
            "address_1": "68 Cumberland St",
            "city": "Woonsocket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028953300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.