Active NPI
Julia Mastorakos
- Behavior Technician
- Andover, MA
National Provider Identifier
1619693371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 461 River Rd
Andover, MA 01810-4349 - Phone
- (978) 654-4300
- NPI assigned
- Oct 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
461 River Rd
Andover, MA 01810-4349
Mailing address
470 Winnacunnet Rd Unit 9
Hampton, NH 03842-2727
Phone (603) 770-6518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861568107 | Other | OTHER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | consultation@melmarkne.org |
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": "1665705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1619693371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 WINNACUNNET RD UNIT 9",
"city": "HAMPTON",
"state": "NH",
"postal_code": "038422727",
"telephone_number": "603-770-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 RIVER RD",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104349",
"telephone_number": "978-654-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTORAKOS",
"first_name": "JULIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-14",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "1861568107",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "consultation@melmarkne.org",
"affiliation": "N",
"address_1": "461 River Rd",
"city": "Andover",
"state": "MA",
"country_code": "US",
"postal_code": "018104349",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.