NPIMap

Organization Active NPI

Cerebral Palsy Association of Eastern Massachusetts

  • Developmental Therapist
  • Lynn, MA
National Provider Identifier
1851788103
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
CEREBRAL PALSY ASSOCIATION OF EASTERN MASSACHUSETTS
Practice address
103 Johnson St
Lynn, MA 01902-4001
Phone
(781) 593-2727
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Lori Russell
Title
Ei Program Director
Phone
(781) 593-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

103 Johnson St
Lynn, MA 01902-4001

Mailing address

103 Johnson St
Lynn, MA 01902-4001
Phone (781) 593-2727

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy Association of Eastern Massachusetts2 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.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1851788103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 JOHNSON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019024001",
            "telephone_number": "781-593-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 JOHNSON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019024001",
            "telephone_number": "781-593-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL PALSY ASSOCIATION OF EASTERN MASSACHUSETTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EI PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "781-593-2727"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.