Organization Active NPI

Act Neurodevelopmental Services, PLLC

  • Clinical Neuropsychologist
  • Westwood, MA
National Provider Identifier
1497585095
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
ACT NEURODEVELOPMENTAL SERVICES, PLLC
Practice address
745 High St Ste 205
Westwood, MA 02090-2531
Phone
(781) 654-8112
Fax
(781) 654-8121
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Meredith Amaya-Hodges, PHDNPI 1124437264
Title
Owner
Phone
(781) 654-8112

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
Clinical Neuropsychologist 103G00000X Primary

Addresses

Primary practice location

745 High St Ste 205
Westwood, MA 02090-2531

Mailing address

47 Mansfield St
Sharon, MA 02067-3101
Phone (781) 654-8112

National Provider Directory

National Provider Directory

Locations

745 High St
Ste 205
Westwood, MA 02090
Phone (781) 654-8112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1497585095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MANSFIELD ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020673101",
            "telephone_number": "781-654-8112",
            "fax_number": "781-654-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 HIGH ST STE 205",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902531",
            "telephone_number": "781-654-8112",
            "fax_number": "781-654-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT NEURODEVELOPMENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "AMAYA-HODGES",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-654-8112",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.