Organization Active NPI

Judge Rotenberg Educational Center, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Canton, MA
National Provider Identifier
1699958025
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
JUDGE ROTENBERG EDUCATIONAL CENTER, INC.
Practice address
240 Turnpike St
Canton, MA 02021-2359
Phone
(781) 828-2202
Fax
(781) 828-5793
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Ms. Glenda P. Crookes
Title
Executive Director
Phone
(781) 828-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

240 Turnpike St
Canton, MA 02021-2359

Mailing address

250 Turnpike St
Canton, MA 02021-2359
Phone (781) 828-2202

National Provider Directory

National Provider Directory

Locations

250 Turnpike St
Canton, MA 02021
Phone (781) 828-2202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1699958025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 TURNPIKE ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212359",
            "telephone_number": "781-828-2202",
            "fax_number": "781-828-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 TURNPIKE ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212359",
            "telephone_number": "781-828-2202",
            "fax_number": "781-828-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDGE ROTENBERG EDUCATIONAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "CROOKES",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-828-2202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.