Organization Active NPI

Accountable Change, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tyngsboro, MA
National Provider Identifier
1477183267
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ACCOUNTABLE CHANGE, LLC
Practice address
269 Middlesex Rd
Tyngsboro, MA 01879-1078
Phone
(978) 866-8110
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Emily Bedard, LMHC
Title
Owner
Phone
(978) 866-8110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

269 Middlesex Rd
Tyngsboro, MA 01879-1078

Mailing address

269 Middlesex Rd
Tyngsboro, MA 01879-1078
Phone (978) 866-8110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebedard@greenbridgecw.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1477183267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MIDDLESEX RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791078",
            "telephone_number": "978-866-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 MIDDLESEX RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791078",
            "telephone_number": "978-866-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOUNTABLE CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "BEDARD",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-866-8110",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebedard@greenbridgecw.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "269 Middlesex Rd",
            "city": "Tyngsboro",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018791078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tyngsboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.