Individual provider Active NPI

Jill Ellen McGrale Maher

  • Behavior Analyst
  • Northborough, MA
National Provider Identifier
1679185193
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
101048 Issued in MA
Practice address
14413 Avalon Dr
Northborough, MA 01532-2179
Phone
(508) 221-0730
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1408 MA
Behavior Analyst 103K00000X 101048 MA Primary

Addresses

Primary practice location

14413 Avalon Dr
Northborough, MA 01532-2179

Mailing address

14413 Avalon Dr
Northborough, MA 01532-2179
Phone (508) 221-0730

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL workgroup Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
1408MAMDBehavioral Analyst
101048MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1679185193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14413 AVALON DR",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322179",
            "telephone_number": "508-221-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14413 AVALON DR",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322179",
            "telephone_number": "508-221-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRALE MAHER",
        "first_name": "JILL",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1408",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "101048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "workgroup",
            "affiliation": "N",
            "endpointDescription": "not linked to any defined compartments",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14413 Avalon Dr",
            "city": "Northborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015322179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.