Individual provider Active NPI

Amie Ann Stelmack, M.E.D.

  • Developmental Therapist
  • Marlborough, MA
National Provider Identifier
1669635900
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
419486 Issued in MA
Practice address
221 Boston Post Rd E
Suite 150
Marlborough, MA 01752-3527
Phone
(508) 624-0304
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 419486 MA Primary

Addresses

Primary practice location

221 Boston Post Rd E
Suite 150
Marlborough, MA 01752-3527

Mailing address

221 Boston Post Rd E
Suite 150
Marlborough, MA 01752-3527
Phone (508) 624-0304

Other identifiers 1

IdentifierTypeStateIssuer
419486OtherMADEPARTMENT OF EDUCATION / COMMONWEALTH OF MA

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
419486MAMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thom Marlboro Area Early Intervention Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1669635900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BOSTON POST RD E",
            "address_2": "SUITE 150",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523527",
            "telephone_number": "508-624-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BOSTON POST RD E",
            "address_2": "SUITE 150",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523527",
            "telephone_number": "508-624-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELMACK",
        "first_name": "AMIE",
        "middle_name": "ANN",
        "credential": "M.E.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "MA",
            "license": "419486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF EDUCATION / COMMONWEALTH OF MA",
            "identifier": "419486",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.