Diamondsedge Farm Foundation

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1033 Issued in MA

Legal business name

DIAMONDSEDGE FARM FOUNDATION

Practice address

2051 Main St
West Barnstable, MA 02668-1118

Phone

(508) 400-0011

NPI assigned

Jul 14, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Marie Tri, CRT,ETNPI 1932338795

Title

Owner,

Phone

(508) 400-0011

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Marie Tri, CRT,EI

  • Specialist
  • West Barnstable, MA
  • NPI 1932338795
  NPD (past) Authorized official

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1932338704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MAIN ST",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681118",
            "telephone_number": "508-400-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MAIN ST",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681118",
            "telephone_number": "508-400-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMONDSEDGE FARM FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "TRI",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER,",
        "authorized_official_telephone_number": "508-400-0011",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRT,ET"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MA",
            "license": "1033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Chrusz, D.D.S.
• Roberta C Churchill, LMHC
• Timothy Clark, LICSW
• Geoffrey Neil Cohen, PH.D
• Lori J Coppinger
• Jennifer Disse, FNP-BC
• Dragonfly Psychotherapy LLC
• Joel P Dwyer, CPO
• Constance Anne Felker, LPN
• Carl Scott Freeman Gustafson, PSY.D.

• Developmentally Disabled Services Day Training Agency in West Barnstable, MA
• Providers in West Barnstable, 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 Jul 14, 2009; 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.