Active NPI
Cami Lee Cleaveland, D.C
- Chiropractor
- Newton, MA
National Provider Identifier
1831792027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3722
- Practice address
- 29 Crafts St Ste 570
Newton, MA 02458-1282 - Phone
- (617) 964-7900
- Fax
- (617) 965-8071
- NPI assigned
- Nov 19, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 002159 | CT | |
| Chiropractor | 111N00000X | 3722 | MA | Primary |
Addresses
Primary practice location
29 Crafts St Ste 570
Newton, MA 02458-1282
Mailing address
703 Granite St Ste 3
Braintree, MA 02184-5350
Phone (781) 961-3370
Other practice location 1
16 Ocean Avenue
West Haven, CT 06516
Phone (203) 932-4476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210610002771 | MA | Practitioner - Chiropractic | 8022418128 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
703 Granite St
Suite 3
Braintree, MA 02184-5350
703 Granite St
Suite 3
Braintree, MA 02184-5473
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002159 | CT | MD | Clinical Psychologist |
| 3722 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleaveland Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Shoreline Family Chiropractic & Wellness | Chiropractor | Past | Accepting new patients |
Locations
207 Cambridge St
Unit C
Burlington, MA 01803
Phone (781) 214-1710
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.
-
- Chiropractor
- Burlington, MA
- NPI 1306612098
-
- Chiropractor
- West Haven, CT
- NPI 1730212457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1831792027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 GRANITE ST STE 3",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845350",
"telephone_number": "781-961-3370",
"fax_number": "781-961-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 CRAFTS ST STE 570",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581282",
"telephone_number": "617-964-7900",
"fax_number": "617-965-8071"
}
],
"practiceLocations": [
{
"address_1": "16 Ocean Avenue",
"address_purpose": "LOCATION",
"city": "West Haven",
"state": "CT",
"postal_code": "06516",
"country_code": "US",
"telephone_number": "203-932-4476",
"fax_number": "203-932-4176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEAVELAND",
"first_name": "CAMI",
"middle_name": "LEE",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "002159",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3722",
"primary": true
}
],
"identifiers": [],
"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 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.