Out of the Ash LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

OUT OF THE ASH LLC

Practice address

24 Buggy Whip Rd
Brewster, MA 02631-1640

Phone

(508) 246-3923

NPI assigned

Oct 16, 2023

Last updated

Oct 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Baird, LICSWNPI 1538671904

Title

Owner

Phone

(508) 360-3288

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Baird, LADC-1, LICSW

  • Clinical Social Worker
  • South Dennis, MA
  • NPI 1538671904
  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1649052614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026600293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BUGGY WHIP RD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026311640",
            "telephone_number": "508-246-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT OF THE ASH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-360-3288",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Nash Hennemuth, LICSW
• Katrina Mary Nichols, LICSW
• Allison Noyes, OTR/L
• Thomas Francis Obrien, MA MSW LICSW
• Michele Louise Oconnor, OTR/L
• Michele Pavlu, ATC, LAT
• Rachel Dyer Pernick, R.D
• Physical Therapy 2 Go, LLC (Physical Therapy 2 Go)
• Marrissa Pinto
• Pleasant Bay Health and Living Centers, LLC (The Woodlands at Pleasant Bay)

• Adult Mental Health Clinic/Center in Brewster, MA
• Providers in Brewster, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.