Active NPI
Isiah Fitzgerald Cline
- Counselor
- Worcester, MA
National Provider Identifier
1700514619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 12 Queen St
Worcester, MA 01610-2411 - Phone
- (508) 860-1000
- NPI assigned
- Aug 9, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
12 Queen St
Worcester, MA 01610-2411
Mailing address
16 Kings Way Unit 102C
Waltham, MA 02451-9006
Phone (469) 658-5607
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | isiah_cline@williamjames.edu |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1700514619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 KINGS WAY UNIT 102C",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024519006",
"telephone_number": "469-658-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 QUEEN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102411",
"telephone_number": "508-860-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "ISIAH",
"middle_name": "FITZGERALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-09",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "isiah_cline@williamjames.edu",
"affiliation": "N",
"address_1": "12 Queen St",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016102411",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 9, 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.