Active NPI
Abrom Roberts
- Behavior Technician
- Roslindale, MA
National Provider Identifier
1497386775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1058 Canterbury St
Roslindale, MA 02131-4685 - Phone
- (978) 844-9691
- NPI assigned
- Jan 27, 2020
- Sex
- Male
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
1058 Canterbury St
Roslindale, MA 02131-4685
Mailing address
1058 Canterbury St
Roslindale, MA 02131-4685
Phone (978) 844-9691
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Roslindale | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1497386775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 CANTERBURY ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021314685",
"telephone_number": "978-844-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1058 CANTERBURY ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021314685",
"telephone_number": "978-844-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ABROM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Roslindale",
"affiliation": "N",
"endpointDescription": "Roslinadle",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"useOtherDescription": "na",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1058 Canterbury St",
"city": "Roslindale",
"state": "MA",
"country_code": "US",
"postal_code": "021314685",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.