Active NPI
Skylyr Bento
- Counselor
- Fall River, MA
National Provider Identifier
1770024713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1082 Davol St
Fall River, MA 02720-1124 - Phone
- (508) 678-2833
- NPI assigned
- Mar 9, 2017
- 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
1082 Davol St
Fall River, MA 02720-1124
Mailing address
133 Greenwood St
New Bedford, MA 02740-2814
Phone (508) 264-9545
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": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1770024713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 GREENWOOD ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027402814",
"telephone_number": "508-264-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1082 DAVOL ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027201124",
"telephone_number": "508-678-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTO",
"first_name": "SKYLYR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-09",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.