Active NPI
Christopher Quealy
- Professional Counselor
- Peabody, MA
National Provider Identifier
1609258268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 200 Corporate PL Ste 6a
Peabody, MA 01960-3840 - Phone
- (978) 927-9410
- Fax
- (978) 531-1355
- NPI assigned
- Jun 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
200 Corporate PL Ste 6a
Peabody, MA 01960-3840
Mailing address
200 Corporate PL Ste 6a
Peabody, MA 01960-3840
Phone (978) 927-9410
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": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1609258268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE PL STE 6A",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-927-9410",
"fax_number": "978-531-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CORPORATE PL STE 6A",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-927-9410",
"fax_number": "978-531-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEALY",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-19",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.