Individual provider Active NPI

Sharon L Murray

  • Behavior Analyst
  • Danvers, MA
National Provider Identifier
1699435263
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
152 Sylvan St Ste 210
Danvers, MA 01923-3558
Phone
(800) 804-5041
Fax
(774) 213-5479
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
No

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Puddingstone Place, LLC Behavior Analyst CurrentSince Dec 26, 2021 Accepting new patients

Locations

152 Sylvan St
Ste 210
Danvers, MA 01923
Phone (774) 213-2357

47 E Grove St
Ste 102
Middleboro, MA 02346
Phone (774) 213-1032

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

152 Sylvan St Ste 210
Danvers, MA 01923-3558

Mailing address

47 E Grove St Ste 102
Middleboro, MA 02346-1816
Phone (008) 804-5041

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 23, 2021.

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1699435263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 E GROVE ST STE 102",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461816",
            "telephone_number": "008-804-5041",
            "fax_number": "774-213-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SYLVAN ST STE 210",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233558",
            "telephone_number": "800-804-5041",
            "fax_number": "774-213-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "SHARON",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.