Active NPI
Sally Mazur
- School Counselor
- Newton, MA
National Provider Identifier
1831682624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 583969
- Practice address
- Memorial Spaulding School
250 Brookline Street
Newton, MA 02465 - Phone
- (617) 501-2540
- NPI assigned
- Jun 7, 2018
- Last updated
- Jun 7, 2018
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 583969 | MA | Primary |
Addresses
Primary practice location
Memorial Spaulding School
250 Brookline Street
Newton, MA 02465
Mailing address
Sally Mazur
34 James Street
Newton, MA 02465
Phone (617) 501-2540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 583969 | Other | MA | BOARD OF SOCIAL WORK, MASSACHUSETTS |
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 |
|---|---|---|---|
| 583969 | MA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1831682624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SALLY MAZUR",
"address_2": "34 JAMES STREET",
"city": "NEWTON",
"state": "MA",
"postal_code": "02465",
"telephone_number": "617-501-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEMORIAL SPAULDING SCHOOL",
"address_2": "250 BROOKLINE STREET",
"city": "NEWTON",
"state": "MA",
"postal_code": "02465",
"telephone_number": "617-501-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUR",
"first_name": "SALLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MA",
"license": "583969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF SOCIAL WORK, MASSACHUSETTS",
"identifier": "583969",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.