NPIMap

Organization Active NPI

Freedom Wings Applied Behavioral Health

  • Behavior Analyst
  • Chelmsford, MA
National Provider Identifier
1497411730
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FREEDOM WINGS APPLIED BEHAVIORAL HEALTH
Practice address
265 Chelmsford St.
Ste 7-1003
Chelmsford, MA 01824-2335
Phone
(603) 321-5175
Fax
(978) 418-1081
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Yuki Maeda, BCBA, LABANPI 1023537172
Title
Owner/Executive Director
Phone
(603) 321-5175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

265 Chelmsford St.
Ste 7-1003
Chelmsford, MA 01824-2335

Mailing address

265 Chelmsford St.
Ste 7-1003
Chelmsford, MA 01824-2335
Phone (603) 321-5175

Other identifiers 2

IdentifierTypeStateIssuer
1-1833220OtherNHBCBA
2620OtherMALABA

Other names 1

  • Yuki Maeda Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yuki.maeda@fwabh.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

265 Chelmsford St
Ste 71003
Chelmsford, MA 01824
Phone (603) 321-5175

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1497411730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 CHELMSFORD ST.",
            "address_2": "STE 7-1003",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242335",
            "telephone_number": "603-321-5175",
            "fax_number": "978-418-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CHELMSFORD ST.",
            "address_2": "STE 7-1003",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242335",
            "telephone_number": "603-321-5175",
            "fax_number": "978-418-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM WINGS APPLIED BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "MAEDA",
        "authorized_official_first_name": "YUKI",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-321-5175",
        "authorized_official_credential": "BCBA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-1833220",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABA",
            "identifier": "2620",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yuki.maeda@fwabh.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "265 Chelmsford St.",
            "address_2": "STE 7, #1003",
            "city": "Chelmsford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018242335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Yuki Maeda",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.