Active NPI
Bridget Nichols, M.ED., BCBA
- Behavior Analyst
- Upton, MA
National Provider Identifier
1487036323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 439
- Practice address
- 2 Maple Ave
Upton, MA 01568-1655 - Phone
- (508) 603-1711
- NPI assigned
- Jun 28, 2015
- Last updated
- Mar 2, 2016
- 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 | 439 | MA | Primary |
Addresses
Primary practice location
2 Maple Ave
Upton, MA 01568-1655
Mailing address
29 Joseph Rd
Shrewsbury, MA 01545-7727
Phone (617) 970-1409
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 439 | MA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Whole Child, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Upton, MA
- NPI 1184350290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1487036323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 JOSEPH RD",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015457727",
"telephone_number": "617-970-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MAPLE AVE",
"city": "UPTON",
"state": "MA",
"postal_code": "015681655",
"telephone_number": "508-603-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "BRIDGET",
"credential": "M.ED., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-28",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.