Coastal Educational Collaborative

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COASTAL EDUCATIONAL COLLABORATIVE

Practice address

6 Merrill St
Unit #8
Salisbury, MA 01952-2311

Phone

(978) 463-5933

NPI assigned

Mar 5, 2007

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Phelps

Title

Executive Director

Phone

(978) 463-5933

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1487783627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MERRILL ST",
            "address_2": "UNIT #3",
            "city": "SALISBURY",
            "state": "MA",
            "postal_code": "019522311",
            "telephone_number": "978-463-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MERRILL ST",
            "address_2": "UNIT #8",
            "city": "SALISBURY",
            "state": "MA",
            "postal_code": "019522311",
            "telephone_number": "978-463-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EDUCATIONAL COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-463-5933"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311948",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Burns, PSYD, LADC I
• Katie Y. Calabrese, R.N.
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• Sandra Jean Coady, RN
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• Phoebe Morgan Deangelo
• Cassandra Michelle Donner, LCSW
• Jocelyn Duff, PA

• Developmentally Disabled Services Day Training Agency in Salisbury, MA
• Providers in Salisbury, MA by specialty
• Developmentally Disabled Services Day Training Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.