NPIMap

Organization Active NPI

Ilan, Inc

  • Behavior Analyst
  • Newton, MA
National Provider Identifier
1598066516
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ILAN, INC
Practice address
109 Oak St Ste G
Newton, MA 02464-1448
Phone
(781) 619-1515
Fax
(781) 619-1509
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Mrs. Mariela Vargas-Irwin, PSY.D., BCBA-D
Title
Director
Phone
(781) 619-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

109 Oak St Ste G
Newton, MA 02464-1448

Mailing address

109 Oak St Ste G
Newton, MA 02464-1448
Phone (781) 619-1515

National Provider Directory

National Provider Directory
Tax ID family
Iccd Partners7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 Oak St
Ste G
Newton, MA 02464
Phone (617) 467-4523

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1598066516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OAK ST STE G",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641448",
            "telephone_number": "781-619-1515",
            "fax_number": "781-619-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OAK ST STE G",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641448",
            "telephone_number": "781-619-1515",
            "fax_number": "781-619-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "VARGAS-IRWIN",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "781-619-1515",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSY.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.