The North East Educational and Developmental Support Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

200835 Issued in MA

Legal business name

THE NORTH EAST EDUCATIONAL AND DEVELOPMENTAL SUPPORT CENTER

Practice address

1120 Main St
Tewksbury, MA 01876-4739

Phone

(978) 216-0300

Fax

(978) 851-1030

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Paula McCullough

Title

Cfo

Phone

(978) 216-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1922486612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764739",
            "telephone_number": "978-216-0300",
            "fax_number": "978-851-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764739",
            "telephone_number": "978-216-0300",
            "fax_number": "978-851-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NORTH EAST EDUCATIONAL AND DEVELOPMENTAL SUPPORT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-216-0300"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MA",
            "license": "200835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Developmentally Disabled Services Day Training Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.