Jessica Dana Blutstein

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

948 Issued in MA

Practice address

100 Cummings Ctr
Ste 135C
Beverly, MA 01915-6263

Phone

(978) 473-7300

Fax

(978) 969-0083

NPI assigned

Feb 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aspire Learning Center LLC

  • Behavior Analyst
  • Beverly, MA
  • NPI 1912358813
  Medicare reassignment NPD Authorized official
• Aspire Learning Center LLC

  • Speech-Language Pathologist
  • Beverly, MA
  • NPI 1134034937
  NPD (past) Authorized official
• The Verbal ABA Clinic, LLC

  • Behavior Analyst
  • Beverly, MA
  • NPI 1427613207
  NPD (past)

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1700159449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "STE 135C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156263",
            "telephone_number": "978-473-7300",
            "fax_number": "978-969-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "STE 135C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156263",
            "telephone_number": "978-473-7300",
            "fax_number": "978-969-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUTSTEIN",
        "first_name": "JESSICA",
        "middle_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8125",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna L Blaney, BA
• Monique Renee Bleau, OTR/L
• Lauren Bloomer
• Blueberry Hill Operator LLC
• Mia Blum, MED
• Alexandra Boepple, M.S., BCBA, LABA
• Jameson Patrick Boeshans
• Christina Bogardus
• Ilya Victor Bogorad, M.D.
• Candis Ann Bolden, MS/CCC-SLP

• Behavior Analyst in Beverly, MA
• Providers in Beverly, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.