Active NPI
Christine Marie Soucy
- Behavior Analyst
- Bridgewater, MA
National Provider Identifier
1942583810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-115-21100
- Practice address
- 6 Old Cedar VLG
Bridgewater, MA 02324-1063 - Phone
- (781) 696-8791
- NPI assigned
- Sep 27, 2011
- Last updated
- Mar 12, 2017
- 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 | 1-115-21100 | MA | Primary |
Addresses
Primary practice location
6 Old Cedar VLG
Bridgewater, MA 02324-1063
Mailing address
6 Old Cedar VLG
Bridgewater, MA 02324-1063
Phone (781) 696-8791
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-115-21100 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489276800000",
"number": "1942583810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 OLD CEDAR VLG",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023241063",
"telephone_number": "781-696-8791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 OLD CEDAR VLG",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023241063",
"telephone_number": "781-696-8791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUCY",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2017-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-115-21100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.