NPIMap

Organization Active NPI

Puddingstone Place, LLC

  • Speech-Language Pathologist
  • Middleboro, MA
National Provider Identifier
1477054419
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PUDDINGSTONE PLACE, LLC
Practice address
47 E Grove St Ste 102
Middleboro, MA 02346-1816
Phone
(774) 213-2362
NPI assigned
Feb 26, 2018
Last updated
Mar 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Paul Domenic Amato
Title
Accountant/ DO
Phone
(774) 213-2362

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

47 E Grove St Ste 102
Middleboro, MA 02346-1816

Mailing address

47 E Grove St Ste 102
Middleboro, MA 02346-1816
Phone (774) 213-2362

Other practice location 1

20 Hope Ave Ste 312
Waltham, MA 02453-2721
Phone (774) 213-1032

National Provider Directory

National Provider Directory

Locations

152 Sylvan St
Ste 210
Danvers, MA 01923
Phone 7742132375 ext. 491

20 Hope Ave
Ste 312
Waltham, MA 02453
Phone (617) 918-7484

20 Hope Ave
Ste 314
Waltham, MA 02453
Phone (774) 213-1032

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1477054419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 E GROVE ST STE 102",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461816",
            "telephone_number": "774-213-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 E GROVE ST STE 102",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461816",
            "telephone_number": "774-213-2362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Hope Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024532721",
            "country_code": "US",
            "telephone_number": "774-213-1032",
            "fax_number": "774-568-5621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUDDINGSTONE PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "AMATO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DOMENIC",
        "authorized_official_title_or_position": "ACCOUNTANT/ DO",
        "authorized_official_telephone_number": "774-213-2362"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.