Danielle Smith, BCBA

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

1-08-4036 Issued in MA

Practice address

153 Sherbert Rd
Ashburnham, MA 01430-1014

Phone

(978) 337-7827

NPI assigned

Sep 16, 2010

Last updated

Sep 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1902114564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 SHERBERT RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301014",
            "telephone_number": "978-337-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 SHERBERT RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301014",
            "telephone_number": "978-337-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIELLE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MA",
            "license": "1-08-4036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "103TB0200X",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Marie Porter, PA-C
• Emilia Rainwalker, L.I.C.S.W.
• Christina Rosa, LMHC
• Shawna M Samson, LPN
• Charles Russell Smith Jr.
• The Octavia Therapy and Wellness Practice LLC
• Town of Ashburnham
• Michael Webb
• Jennifer Lee Wells, OTR/L
• Catherine Whitaker, MS, AGCNP-BC

• Student Health Clinic/Center in Ashburnham, MA
• Providers in Ashburnham, MA by specialty
• Student Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.