Active NPI
Samantha Roy, MS, LABA
- Behavior Analyst
- Wilmington, MA
National Provider Identifier
1821579624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 60 Concord St Ste I
Wilmington, MA 01887-2179 - Phone
- (781) 640-3902
- NPI assigned
- Aug 28, 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 | Primary |
Addresses
Primary practice location
60 Concord St Ste I
Wilmington, MA 01887-2179
Mailing address
41 Pacella Park Dr
Randolph, MA 02368-1755
Phone (781) 437-0791
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pridestar Center for Applied Learning | Behavior Analyst | Past | Accepting new patients |
| The May Institute, Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Lowell, MA
- NPI 1205298932
-
- Behavior Analyst
- Randolph, MA
- NPI 1356318125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1821579624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 PACELLA PARK DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023681755",
"telephone_number": "781-437-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 CONCORD ST STE I",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018872179",
"telephone_number": "781-640-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "SAMANTHA",
"credential": "MS, LABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.