Active NPI
Alexandre Earl Burroughs, M.S. ED
- Marriage & Family Therapist
- Northborough, MA
National Provider Identifier
1699420760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 14 Stone Dr
Northborough, MA 01532-1126 - Phone
- (508) 868-7279
- NPI assigned
- Feb 17, 2022
- Last updated
- Feb 17, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
14 Stone Dr
Northborough, MA 01532-1126
Mailing address
324 Clark Street
Worcester, MA 01606
Phone (774) 243-2488
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1699420760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 CLARK STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01606",
"telephone_number": "774-243-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 STONE DR",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015321126",
"telephone_number": "508-868-7279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGHS",
"first_name": "ALEXANDRE",
"middle_name": "EARL",
"credential": "M.S. ED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 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.