NPIMap

Organization Active NPI

Angel Care Kids Therapy Center Inc.

  • Pediatric Occupational Therapist
  • Haverhill, MA
National Provider Identifier
1902136773
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
8830 Issued in MA
Legal business name
ANGEL CARE KIDS THERAPY CENTER INC.
Practice address
969 Main St
Haverhill, MA 01830-2011
Phone
(978) 521-6150
Fax
(978) 521-2659
NPI assigned
Dec 30, 2009
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Kimberley Cook, O.T.NPI 1023213840
Title
Owner/Occupational Therapist
Phone
(978) 521-6150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 8830 MA Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

969 Main St
Haverhill, MA 01830-2011

Mailing address

969 Main St
Haverhill, MA 01830-2011
Phone (978) 521-6150

Other identifiers 3

IdentifierTypeStateIssuer
0G0014OtherMABCBS
AA118890OtherMAHARVARD PILGRIM
13Y005487MA01OtherNHANTHEM NH

National Provider Directory

National Provider Directory

Locations

969 Main St
Haverhill, MA 01830
Phone (978) 521-6150

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1902136773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302011",
            "telephone_number": "978-521-6150",
            "fax_number": "978-521-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302011",
            "telephone_number": "978-521-6150",
            "fax_number": "978-521-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE KIDS THERAPY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "978-521-6150",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "8830",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0G0014",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA118890",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NH",
            "identifier": "13Y005487MA01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.