Babson College

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

BABSON COLLEGE

Practice address

231 Forest St
Wellness Center
Babson Park, MA 02457

Phone

(781) 239-6200

NPI assigned

Mar 20, 2020

Last updated

Mar 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jan Holton, LIMSW

Title

Director of Caps

Phone

(781) 239-6200

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1598391633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 COMMONWEALTH AVE APT 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021355618",
            "telephone_number": "203-623-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 FOREST ST",
            "address_2": "WELLNESS CENTER",
            "city": "BABSON PARK",
            "state": "MA",
            "postal_code": "02457",
            "telephone_number": "781-239-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABSON COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DIRECTOR OF CAPS",
        "authorized_official_telephone_number": "781-239-6200",
        "authorized_official_credential": "LIMSW"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbavolar@babson.edu",
            "affiliation": "N",
            "address_1": "231 Forest St",
            "address_2": "Wellness Center",
            "city": "Babson Park",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Alan Burr, LAT, ATC
• Diane Hooke Mitchell, ANP
• Matthew P Piantedosi, MS, ATC, LAT
• Paula H Raha, NP
• Erika Lynch Redmond, APRN

• Student Health Clinic/Center in Babson Park, MA
• Providers in Babson Park, MA by specialty
• Student Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.