NPIMap

Organization Active NPI

Puzzle Pieces, LLC

  • Mental Health Counselor
  • Quincy, MA
National Provider Identifier
1962833863
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7307 Issued in MA
Legal business name
PUZZLE PIECES, LLC
Practice address
1266 Furnace Brook Pkwy Ste 100B
Quincy, MA 02169-4789
Phone
(617) 433-7699
Fax
(617) 481-2325
NPI assigned
Dec 3, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Megan Shea SelchanNPI 1235225657
Title
Clinical Director/Partner
Phone
(617) 890-1060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 7307 MA Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 8546 MA
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 8947 MA

Addresses

Primary practice location

1266 Furnace Brook Pkwy Ste 100B
Quincy, MA 02169-4789

Mailing address

1266 Furnace Brook Pkwy Ste 100B
Quincy, MA 02169-4789
Phone (617) 433-7699

Other practice location 1

67 Federal Ave
Quincy, MA 02169-7752
Phone (617) 890-1060

National Provider Directory

National Provider Directory

Locations

1266 Furnace Brook Pkwy
Quincy, MA 02169
Phone (617) 433-7699

1266 Furnace Brook Pkwy
Ste 100B
Quincy, MA 02169
Phone (617) 237-0898

1266 Furnace Brook Pkwy
Ste 308
Quincy, MA 02169

67 Federal Ave
Quincy, MA 02169
Phone (617) 615-7417

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1962833863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 FURNACE BROOK PKWY STE 100B",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694789",
            "telephone_number": "617-433-7699",
            "fax_number": "617-481-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 FURNACE BROOK PKWY STE 100B",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694789",
            "telephone_number": "617-433-7699",
            "fax_number": "617-481-2325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Federal Ave",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021697752",
            "country_code": "US",
            "telephone_number": "617-890-1060",
            "fax_number": "617-890-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUZZLE PIECES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SELCHAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/PARTNER",
        "authorized_official_telephone_number": "617-890-1060"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7307",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8546",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.