Active NPI
Irlande Aime
- Registered Record Administrator
- Boston, MA
National Provider Identifier
1629534201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Record Administrator
- Practice address
- 12 Southern Ave
Boston, MA 02124-2012 - Phone
- (617) 708-0870
- Fax
- (617) 516-8274
- NPI assigned
- Feb 19, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MA | ||
| Registered Record Administrator | 246YR1600X | Primary |
Addresses
Primary practice location
12 Southern Ave
Boston, MA 02124-2012
Mailing address
12 Southern Ave
Boston, MA 02124-2012
Phone (617) 708-0870
Other practice location 1
109 Oak St Ste 103
Newton, MA 02464-1493
Phone (617) 658-5611
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fathers' Uplift Family Group, LLC | Current | Accepting new patients |
Locations
12 Southern Ave
Dorchester Center, MA 02124
Phone (617) 708-0870
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Dorchester, MA
- NPI 1174975452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1629534201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SOUTHERN AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021242012",
"telephone_number": "617-708-0870",
"fax_number": "617-516-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SOUTHERN AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021242012",
"telephone_number": "617-708-0870",
"fax_number": "617-516-8274"
}
],
"practiceLocations": [
{
"address_1": "109 Oak St Ste 103",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "024641493",
"country_code": "US",
"telephone_number": "617-658-5611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AIME",
"first_name": "IRLANDE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "246YR1600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information, Registered Record Administrator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.