Individual provider Active NPI

Emilyann Marie Bolia

  • Behavior Analyst
  • Plymouth, MA
National Provider Identifier
1477288306
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
S16636506 Issued in MA
Practice address
5 Natalie Way
Plymouth, MA 02360-3557
Phone
(508) 858-5991
NPI assigned
Jul 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X S16636506 MA Primary

Addresses

Primary practice location

5 Natalie Way
Plymouth, MA 02360-3557

Mailing address

5 Natalie Way
Plymouth, MA 02360-3557
Phone (508) 858-5991

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

LicenseStateTypeSpecialty
S16636506MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Pediatrics LLC Behavior Analyst CurrentSince Jul 31, 2022 Accepting new patients
Healthpro Pediatrics, LLC CurrentSince Jul 31, 2022 Accepting new patients

Locations

5 Natalie Way
Plymouth, MA 02360
Phone (508) 858-5991

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1477288306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NATALIE WAY",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603557",
            "telephone_number": "508-858-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NATALIE WAY",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603557",
            "telephone_number": "508-858-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIA",
        "first_name": "EMILYANN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "S16636506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.