Organization Active NPI

Menj Therapeutic Services, LLC

  • Behavior Analyst
  • Worcester, MA
National Provider Identifier
1689317729
Registry record updated Apr 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MENJ THERAPEUTIC SERVICES, LLC
Practice address
120 Stafford St Unit 10
Worcester, MA 01603-1457
Phone
(774) 312-1810
NPI assigned
Apr 17, 2022
Last updated
Apr 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2022

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

Authorized official

Name
Grace Gitau
Title
Co-Owner
Phone
(774) 312-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

120 Stafford St Unit 10
Worcester, MA 01603-1457

Mailing address

120 Stafford St Unit 10
Worcester, MA 01603-1457

National Provider Directory

National Provider Directory

Locations

120 Stafford St
Unit 10
Worcester, MA 01603
Phone (774) 312-1810

NPI Registry JSON

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650153600000",
    "number": "1689317729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STAFFORD ST UNIT 10",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STAFFORD ST UNIT 10",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031457",
            "telephone_number": "774-312-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENJ THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-17",
        "last_updated": "2022-04-17",
        "certification_date": "2022-04-17",
        "status": "A",
        "authorized_official_last_name": "GITAU",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "774-312-1810"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2022; 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.