Active NPI
Calvin Stanley, M. ED.
- Behavior Analyst
- Medford, MA
National Provider Identifier
1730510314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1607
- Practice address
- 23 Marston St
Medford, MA 02155-4444 - Phone
- (781) 437-4015
- NPI assigned
- Dec 6, 2013
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1607 | MA | Primary |
Addresses
Primary practice location
23 Marston St
Medford, MA 02155-4444
Mailing address
95 Lafayette St
Randolph, MA 02368-3415
Phone (781) 228-0145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026265 | Medicaid | MA |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1607 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanley ABA Consulting, LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1730510314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 LAFAYETTE ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023683415",
"telephone_number": "781-228-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 MARSTON ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554444",
"telephone_number": "781-437-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "CALVIN",
"credential": "M. ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-06",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110026265",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.