Active NPI
Hermes Kola Alagbada
- Behavior Technician
- Marlborough, MA
National Provider Identifier
1891417952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 225 Cedar Hill St
Marlborough, MA 01752-5900 - Phone
- (508) 410-3579
- NPI assigned
- Sep 15, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
225 Cedar Hill St
Marlborough, MA 01752-5900
Mailing address
72 Charlotte St
Worcester, MA 01610-3458
Phone (508) 410-3579
Other practice location 1
72 Charlotte St
Worcester, MA 01610-3458
Phone (508) 410-3579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1970967 | Other | MA | MASS IDENTIFICATION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1891417952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 CHARLOTTE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016103458",
"telephone_number": "508-410-3579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CEDAR HILL ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017525900",
"telephone_number": "508-410-3579"
}
],
"practiceLocations": [
{
"address_1": "72 Charlotte St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016103458",
"country_code": "US",
"telephone_number": "508-410-3579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLA ALAGBADA",
"first_name": "HERMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS IDENTIFICATION",
"identifier": "SA1970967",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.