Active NPI
Kathleen Frances Dollard
- Behavior Analyst
- Danvers, MA
National Provider Identifier
1639837446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 152 Sylvan St Ste 210
Danvers, MA 01923-3558 - Phone
- (978) 564-4328
- Fax
- (774) 213-5479
- NPI assigned
- Nov 30, 2021
- Last updated
- Nov 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
152 Sylvan St Ste 210
Danvers, MA 01923-3558
Mailing address
47 E Grove St Ste 102
Middleboro, MA 02346-1816
Phone (781) 966-5770
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Danvers |
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 |
|---|---|---|---|
| Puddingstone Place, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
47 E Grove St
Ste 102
Middleboro, MA 02346
Phone (774) 213-1032
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1639837446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 E GROVE ST STE 102",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023461816",
"telephone_number": "781-966-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 SYLVAN ST STE 210",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233558",
"telephone_number": "978-564-4328",
"fax_number": "774-213-5479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLLARD",
"first_name": "KATHLEEN",
"middle_name": "FRANCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Danvers",
"affiliation": "N",
"address_1": "152 Sylvan St Ste 210",
"city": "Danvers",
"state": "MA",
"country_code": "US",
"postal_code": "019233558",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.