NPIMap

Organization Active NPI

Special Education Consultants of Ma, LLC

  • Psychologist
  • Milford, MA
National Provider Identifier
1588075956
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1018 Issued in MA
Legal business name
SPECIAL EDUCATION CONSULTANTS OF MA, LLC
Practice address
208 Main St
Suite 115
Milford, MA 01757-2502
Phone
(508) 478-0126
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dr. Sarah A Prevelige, ED.D.NPI 1265668818
Title
Director
Phone
(508) 478-0126

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1018 MA Primary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 403756 MA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1031833 MA

Addresses

Primary practice location

208 Main St
Suite 115
Milford, MA 01757-2502

Mailing address

208 Main St
Suite 115
Milford, MA 01757-2502
Phone (508) 478-0126

Other names 1

  • SECM, LLC Other name

National Provider Directory

National Provider Directory

Locations

208 Main St
Ste 115
Milford, MA 01757
Phone (508) 478-0126

Practitioners & affiliated clinicians

Practitioners 4

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": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1588075956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MAIN ST",
            "address_2": "SUITE 115",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572502",
            "telephone_number": "508-478-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MAIN ST",
            "address_2": "SUITE 115",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572502",
            "telephone_number": "508-478-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL EDUCATION CONSULTANTS OF MA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "PREVELIGE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-478-0126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "1018",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "MA",
            "license": "403756",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SECM, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.