NPIMap

Organization Active NPI

Spectrum Wellness LLC

  • Behavior Analyst
  • Woburn, MA
National Provider Identifier
1649026014
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPECTRUM WELLNESS LLC
Practice address
182 Mishawum Rd
Woburn, MA 01801-2431
Phone
(781) 405-0111
Fax
(781) 529-0423
NPI assigned
Apr 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Dr. Dena Michelle Shade-Monuteaux, PHD, BCBA-D, LABANPI 1558621995
Title
Owner & Founder
Phone
(781) 405-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

182 Mishawum Rd
Woburn, MA 01801-2431

Mailing address

182 Mishawum Rd
Woburn, MA 01801-2431
Phone (781) 405-0111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1649026014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 MISHAWUM RD",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012431",
            "telephone_number": "781-405-0111",
            "fax_number": "781-529-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MISHAWUM RD",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012431",
            "telephone_number": "781-405-0111",
            "fax_number": "781-529-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "SHADE-MONUTEAUX",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER & FOUNDER",
        "authorized_official_telephone_number": "781-405-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.