Active NPI
Susan Gorham Dobratz
- Behavior Analyst
- Plymouth, MA
National Provider Identifier
1912358383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1 White Violet LN
Plymouth, MA 02360-2659 - Phone
- (774) 413-9564
- NPI assigned
- Jun 28, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1 White Violet LN
Plymouth, MA 02360-2659
Mailing address
1 White Violet LN
Plymouth, MA 02360-2659
Phone (774) 413-9564
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": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1912358383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WHITE VIOLET LN",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602659",
"telephone_number": "774-413-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WHITE VIOLET LN",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602659",
"telephone_number": "774-413-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBRATZ",
"first_name": "SUSAN",
"middle_name": "GORHAM",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.