Institute for Emerging Adulthood Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119026 Issued in MA

Legal business name

INSTITUTE FOR EMERGING ADULTHOOD INC

Practice address

25 Main St Ste 219
Northampton, MA 01060-3172

Phone

(510) 830-6705

Fax

(413) 341-3284

NPI assigned

Aug 1, 2017

Organization subpart

No

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

Authorized official

Name

Jaycelle Monsanto Basford-Pequet, LICSW

Title

Executive Director

Phone

(510) 830-6705

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jaycelle Monsanto Pequet, M.S.W.

  • Clinical Social Worker
  • San Francisco, CA
  • NPI 1942450168
  NPD

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710401781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAIN ST STE 219",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603172",
            "telephone_number": "510-830-6705",
            "fax_number": "413-341-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN ST STE 219",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603172",
            "telephone_number": "510-830-6705",
            "fax_number": "413-341-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR EMERGING ADULTHOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BASFORD-PEQUET",
        "authorized_official_first_name": "JAYCELLE",
        "authorized_official_middle_name": "MONSANTO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-830-6705",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Wellness, LLC
• Jay Hamkins Indik, LICSW
• Tracey Ingle, LICSW
• Inspired Action Inc.
• Institute for Emerging Adulthood
• Institute of Human Solutions LLC
• Roberto A. Irizarry, PHD.-COUNSELING PSYC
• Isbister Acupuncture LLC
• Lara Sarah Ismail, L.I.C.S.W.
• Diana Israeli, D.O.

• Clinical Social Worker in Northampton, MA
• Providers in Northampton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.