Individual provider Active NPI

Elizabeth Spellman Cyr

  • Counselor
  • Boston, MA
National Provider Identifier
1548602204
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
30 Northampton St
Boston, MA 02118-4010
Phone
(646) 660-3125
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

30 Northampton St
Boston, MA 02118-4010

Mailing address

245 Beacon St Unit 1
Somerville, MA 02143-3659
Phone (646) 660-3125

Other practice location 1

14 Fordham Rd
Allston, MA 02134-3006
Phone (617) 782-6460

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1548602204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BEACON ST UNIT 1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433659",
            "telephone_number": "646-660-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTHAMPTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184010",
            "telephone_number": "646-660-3125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Fordham Rd",
            "address_purpose": "LOCATION",
            "city": "Allston",
            "state": "MA",
            "postal_code": "021343006",
            "country_code": "US",
            "telephone_number": "617-782-6460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CYR",
        "first_name": "ELIZABETH",
        "middle_name": "SPELLMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "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 Sep 10, 2018; 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.