Organization Active NPI

Four Out of Four Programs & Services LLC

  • Clinical Social Worker
  • Southampton, MA
National Provider Identifier
1720680457
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FOUR OUT OF FOUR PROGRAMS & SERVICES LLC
Practice address
17 Gunn Rd Ext
Unit C
Southampton, MA 01073-9648
Phone
(413) 217-4667
Fax
(413) 341-8046
NPI assigned
Nov 9, 2020
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Julia NedryNPI 1407191240
Title
Owner
Phone
(413) 217-4667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

17 Gunn Rd Ext
Unit C
Southampton, MA 01073-9648

Mailing address

17 Gunn Rd Ext
Unit C
Southampton, MA 01073-9648
Phone (413) 217-4667

Other names 1

  • Julia Nedry LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1720680457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GUNN RD EXT",
            "address_2": "UNIT C",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739648",
            "telephone_number": "413-217-4667",
            "fax_number": "413-341-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GUNN RD EXT",
            "address_2": "UNIT C",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739648",
            "telephone_number": "413-217-4667",
            "fax_number": "413-341-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR OUT OF FOUR PROGRAMS & SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "NEDRY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-217-4667"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julia Nedry LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Southampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.