Icare Therapy Ma LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ICARE THERAPY MA LLC

Practice address

529 Main St Suite 200
Charlestown, MA 02129

Phone

(866) 588-8829

NPI assigned

Nov 26, 2024

Organization subpart

No

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

Authorized official

Name

Alexander Denciger

Title

Managing Member

Phone

(866) 588-8829

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1770309494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MAIN ST SUITE 200",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "02129",
            "telephone_number": "866-588-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE THERAPY MA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "DENCIGER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "866-588-8829"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel J Hughes
• Alexina Leora Hurley, CCC-SLP
• Kathryn Mary Hurley, PNP-PC
• KT Huskins
• Olasunbo Yetunde Ibrahim, APRN, FNP- BC
• Aazeen Imran, MS, CCC-SLP
• Melissa Jacobo, LICSW, MAT
• David Reid Jacoby, M.D., PH.D.
• Jeffrey a Goldman,D.D.S,LLC
• Jenny Dunne LMHC

• Behavior Analyst in Charlestown, MA
• Providers in Charlestown, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.