Williamstown Behavioral Health Associates

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WILLIAMSTOWN BEHAVIORAL HEALTH ASSOCIATES

Practice address

77 Hospital Ave Ste 214
North Adams, MA 01247-2538

Phone

(413) 398-5064

Fax

(413) 398-5496

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Ray Sullivan, PSYDNPI 1043441306

Title

Owner

Phone

(413) 347-6679

Specialties & licenses 1

Addresses

Tax ID family

Sullivan Associates Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Williamstown Behavioral Health Associates

  • Psychologist
  • North Adams, MA
  • NPI 1417023672
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Ray Sullivan, PSY.D

  • Clinical Psychologist
  • North Adams, MA
  • NPI 1043441306
  NPD Authorized official

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1821664228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL AVE STE 214",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472538",
            "telephone_number": "413-398-5064",
            "fax_number": "413-398-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL AVE STE 214",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472538",
            "telephone_number": "413-398-5064",
            "fax_number": "413-398-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSTOWN BEHAVIORAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-347-6679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Nassif Whitney, PT
• Allyse Marie Wiencek, MS, LDN
• William Kober MD Northern Berkshire Family Practice LLC
• Williamstown Anesthesia Associates, P.C.
• Williamstown Behavioral Health Associates
• Willowood of North Adams, Inc.
• Michael K. Wilson, M.D.
• Georgia Wingblade
• Kathryn B Wiseman, M.D.
• Rhonda Ann Wood, SLPCCC

• Speech-Language Pathologist in North Adams, MA
• Providers in North Adams, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.