Organization Active NPI

Northeast Behavioral Associates

  • In Home Supportive Care Agency
  • Medway, MA
National Provider Identifier
1831432822
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NORTHEAST BEHAVIORAL ASSOCIATES
Practice address
9 Summer Hill Rd
Medway, MA 02053-2143
Phone
(508) 801-7707
NPI assigned
Mar 28, 2013
Last updated
Mar 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Ms. Pamela Anne GilesNPI 1174866313
Title
Behavior Management Monitor
Phone
(508) 801-7707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

9 Summer Hill Rd
Medway, MA 02053-2143

Mailing address

9 Summer Hill Rd
Medway, MA 02053-2143

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1831432822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SUMMER HILL RD",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020532143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SUMMER HILL RD",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020532143",
            "telephone_number": "508-801-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST BEHAVIORAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "BEHAVIOR MANAGEMENT MONITOR",
        "authorized_official_telephone_number": "508-801-7707",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medway, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.