Active NPI
Chelsey Frederick
- Behavior Analyst
- Southborough, MA
National Provider Identifier
1801229901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2537
- Practice address
- 33 Turnpike Rd
Southborough, MA 01772-2108 - Phone
- (508) 481-1015
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 2537 | MA | Primary |
Addresses
Primary practice location
33 Turnpike Rd
Southborough, MA 01772-2108
Mailing address
33 Turnpike Rd
Southborough, MA 01772-2108
Phone (508) 481-1015
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2537 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New England Center for Children, Inc. | 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
- Southborough, MA
- NPI 1629193776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1801229901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 TURNPIKE RD",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017722108",
"telephone_number": "508-481-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 TURNPIKE RD",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017722108",
"telephone_number": "508-481-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "CHELSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "MA",
"license": "2537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.