Antone D Taveira, MA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1186 Issued in MA

Practice address

124 Bullock Rd
East Freetown, MA 02717-1416

Phone

(508) 763-5188

Fax

(508) 763-5188

NPI assigned

Jul 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1932308210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BULLOCK RD",
            "city": "EAST FREETOWN",
            "state": "MA",
            "postal_code": "027171416",
            "telephone_number": "508-763-5188",
            "fax_number": "508-763-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BULLOCK RD",
            "city": "EAST FREETOWN",
            "state": "MA",
            "postal_code": "027171416",
            "telephone_number": "508-763-5188",
            "fax_number": "508-763-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVEIRA",
        "first_name": "ANTONE",
        "middle_name": "D",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1186",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "MA",
            "license": "30347",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "MA",
            "license": "706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Ann Pegg, M.ED.
• Zuri Charlotte Saizonou, MSN
• Delyan Savov
• Kristie Lee Simmons, NP
• Leighanne Souther, LCSW
• Town of Freetown

• Addiction (Substance Use Disorder) Counselor in East Freetown, MA
• Providers in East Freetown, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.