Active NPI
Catherine Rebecca Djerbaka, BACHELORS OF ART
- Developmental Therapist
- Leominster, MA
National Provider Identifier
1679972954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 100 Erdman Way
Leominster, MA 01453-1804 - Phone
- (508) 361-5516
- NPI assigned
- Aug 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
100 Erdman Way
Leominster, MA 01453-1804
Mailing address
35 Tanagers LNDG
Leominster, MA 01453-4769
Phone (978) 407-9325
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": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1679972954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 TANAGERS LNDG",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014534769",
"telephone_number": "978-407-9325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ERDMAN WAY",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014531804",
"telephone_number": "508-361-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DJERBAKA",
"first_name": "CATHERINE",
"middle_name": "REBECCA",
"name_prefix": "Miss",
"credential": "BACHELORS OF ART",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-22",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.