Individual provider Active NPI

Caroline Goshgarian

  • Behavior Analyst
  • Norwell, MA
National Provider Identifier
1780100354
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1857 Issued in MA
Practice address
80 Washington St BLDG P
Norwell, MA 02061-1740
Phone
(617) 653-5811
NPI assigned
Aug 16, 2017
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1857 MA Primary

Addresses

Primary practice location

80 Washington St BLDG P
Norwell, MA 02061-1740

Mailing address

43 Windchime Rd
South Easton, MA 02375-1966

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgoshgarian@provenaba.com

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

State licenses

LicenseStateTypeSpecialty
1857MAMDBehavioral Analyst

Interoperability endpoints

  • Direct secure messaging: cgoshgarian@provenaba.com

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1780100354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WINDCHIME RD",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST BLDG P",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611740",
            "telephone_number": "617-653-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHGARIAN",
        "first_name": "CAROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgoshgarian@provenaba.com",
            "affiliation": "N",
            "endpointDescription": "proven email",
            "address_1": "80 Washington St Bldg P",
            "city": "Norwell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020611740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.