Organization Active NPI

Blue Social Empowerment Autism Services Incorportated

  • Community/Behavioral Health Agency
  • East Freetown, MA
National Provider Identifier
1659065571
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLUE SOCIAL EMPOWERMENT AUTISM SERVICES INCORPORTATED
Practice address
1 Chace Rd Unit 14
East Freetown, MA 02717-1238
Phone
(774) 245-7739
Fax
(508) 923-1777
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Mrs. Donna Marie Muirhead, RBTNPI 1689367732
Title
President/Ceo
Phone
(774) 245-7739

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1 Chace Rd Unit 14
East Freetown, MA 02717-1238

Mailing address

1 Chace Rd Unit 14
East Freetown, MA 02717-1238
Phone (774) 245-7739

National Provider Directory

National Provider Directory

Locations

1 Chace Rd
Unit 14
East Freetown, MA 02717
Phone (774) 245-7739

Practitioners & affiliated clinicians

Practitioners 1

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": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1659065571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHACE RD UNIT 14",
            "city": "EAST FREETOWN",
            "state": "MA",
            "postal_code": "027171238",
            "telephone_number": "774-245-7739",
            "fax_number": "508-923-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHACE RD UNIT 14",
            "city": "EAST FREETOWN",
            "state": "MA",
            "postal_code": "027171238",
            "telephone_number": "774-245-7739",
            "fax_number": "508-923-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SOCIAL EMPOWERMENT AUTISM SERVICES INCORPORTATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "MUIRHEAD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "774-245-7739",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RBT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Freetown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.