Active NPI
Nelvi Diaz, LSW
- Behavior Analyst
- Lawrence, MA
National Provider Identifier
1790264844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-39409
- Practice address
- 280 Merrimack St FL 3
Lawrence, MA 01843-1779 - Phone
- (707) 706-3584
- NPI assigned
- Aug 9, 2018
- Sex
- Female
- 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 | 1-19-39409 | MA | Primary |
Addresses
Primary practice location
280 Merrimack St FL 3
Lawrence, MA 01843-1779
Mailing address
280 Merrimack St FL 3
Lawrence, MA 01843-1779
Other practice location 1
270 Canal St Apt 406
Lawrence, MA 01840-1451
Phone (707) 706-3584
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Recreational Education Center, LLC | Past | 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.
-
- Community/Behavioral Health Agency
- Peabody, MA
- NPI 1215296603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1790264844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MERRIMACK ST FL 3",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MERRIMACK ST FL 3",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431779",
"telephone_number": "707-706-3584"
}
],
"practiceLocations": [
{
"address_1": "270 Canal St Apt 406",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "MA",
"postal_code": "018401451",
"country_code": "US",
"telephone_number": "707-706-3584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "NELVI",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-19-39409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.