Individual provider Active NPI

Adam Woods

  • Behavior Technician
  • Boston, MA
National Provider Identifier
1508293358
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
44 School St RM 325
Boston, MA 02108-4209
Phone
(248) 299-0030
NPI assigned
Oct 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X S58601676 MA
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

44 School St RM 325
Boston, MA 02108-4209

Mailing address

130 Essex St
South Hamilton, MA 01982-2325

Other practice location 1

130 Essex St
South Hamilton, MA 01982-2325
Phone (978) 921-1190

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

State licenses

LicenseStateTypeSpecialty
S58601676MAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1508293358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ESSEX ST",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SCHOOL ST RM 325",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084209",
            "telephone_number": "248-299-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Essex St",
            "address_purpose": "LOCATION",
            "city": "South Hamilton",
            "state": "MA",
            "postal_code": "019822325",
            "country_code": "US",
            "telephone_number": "978-921-1190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-10",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "S58601676",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.