Active NPI
Wintana G Mesfin
- Behavior Analyst
- Woburn, MA
National Provider Identifier
1871965731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5 Constitution Way
Woburn, MA 01801-1199 - Phone
- (888) 754-0398
- NPI assigned
- Oct 30, 2015
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-35963 | MA | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
5 Constitution Way
Woburn, MA 01801-1199
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other practice location 1
51 Water St
200
Watertown, MA 02472-4611
Phone (617) 923-7575
Other practice location 2
575 Virginia Rd # 310B
Concord, MA 01742-2761
Phone (978) 759-7002
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Framework, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Rockville, MD
- NPI 1659730307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1871965731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "818-345-2345",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CONSTITUTION WAY",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011199",
"telephone_number": "888-754-0398"
}
],
"practiceLocations": [
{
"address_1": "51 Water St",
"address_2": "200",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "MA",
"postal_code": "024724611",
"country_code": "US",
"telephone_number": "617-923-7575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "575 Virginia Rd # 310B",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017422761",
"country_code": "US",
"telephone_number": "978-759-7002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MESFIN",
"first_name": "WINTANA",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-30",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-19-35963",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.