Active NPI
Antonia Pinckney
- Mental Health Counselor
- Roxbury, MA
National Provider Identifier
1659020857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 520 Dudley St
Roxbury, MA 02119-2769 - Phone
- (617) 445-6655
- NPI assigned
- Mar 23, 2022
- 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 Analyst | 103K00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
520 Dudley St
Roxbury, MA 02119-2769
Mailing address
14 Fordham Rd
Allston, MA 02134-3000
Phone (617) 782-6460
Other practice location 1
533 Harvard St Apt 7
Mattapan, MA 02126-2865
Phone (857) 237-0491
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": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719014400000",
"number": "1659020857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 FORDHAM RD",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021343000",
"telephone_number": "617-782-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 DUDLEY ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021192769",
"telephone_number": "617-445-6655"
}
],
"practiceLocations": [
{
"address_1": "533 Harvard St Apt 7",
"address_purpose": "LOCATION",
"city": "Mattapan",
"state": "MA",
"postal_code": "021262865",
"country_code": "US",
"telephone_number": "857-237-0491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINCKNEY",
"first_name": "ANTONIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-23",
"last_updated": "2024-06-22",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.