Organization Active NPI

Massachusetts Mentor

  • Case Management Agency
  • New Bedford, MA
National Provider Identifier
1497091235
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MASSACHUSETTS MENTOR
Practice address
259 Samuel Barnet Blvd
New Bedford, MA 02745-1214
Phone
(774) 929-0534
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Sarah Elizabeth Spangler
Title
Therapeutic Mentor
Phone
(774) 929-0534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

259 Samuel Barnet Blvd
New Bedford, MA 02745-1214

Mailing address

259 Samuel Barnet Blvd
New Bedford, MA 02745-1214
Phone (774) 929-0534

National Provider Directory

National Provider Directory

Locations

259 Samuel Barnet Blvd
New Bedford, MA 02745
Phone (508) 995-3251

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1497091235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 SAMUEL BARNET BLVD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027451214",
            "telephone_number": "774-929-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 SAMUEL BARNET BLVD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027451214",
            "telephone_number": "774-929-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS MENTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "SPANGLER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "THERAPEUTIC MENTOR",
        "authorized_official_telephone_number": "774-929-0534"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.