Organization Active NPI

Autism Services Association, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Wellesley, MA
National Provider Identifier
1891821740
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1301012 Issued in MA
Legal business name
AUTISM SERVICES ASSOCIATION, INC.
Practice address
47 Walnut St.
Wellesley, MA 02481-2101
Phone
(781) 386-0633
Fax
(781) 237-5020
NPI assigned
Feb 26, 2007
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Sheela M. Smith
Title
Executive Director
Phone
(781) 386-0633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1301012 MA Primary

Addresses

Primary practice location

47 Walnut St.
Wellesley, MA 02481-2101

Mailing address

47 Walnut St.
Wellesley, MA 02481-2101
Phone (781) 386-0633

Other identifiers 2

IdentifierTypeStateIssuer
110027808AMedicaidMA
1301012MedicaidMA

National Provider Directory

National Provider Directory

Locations

47 Walnut St
Wellesley Hills, MA 02481
Phone (781) 386-0633

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1891821740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WALNUT ST.",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812101",
            "telephone_number": "781-386-0633",
            "fax_number": "781-237-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WALNUT ST.",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812101",
            "telephone_number": "781-386-0633",
            "fax_number": "781-237-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SERVICES ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHEELA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-386-0633"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MA",
            "license": "1301012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027808A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301012",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.