Individual provider Active NPI

Jonathan Dodd, RBT

  • Behavior Analyst
  • Chelmsford, MA
National Provider Identifier
1972091148
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
15-01417
Practice address
248 Mill Rd Ste 3
Chelmsford, MA 01824-4148
Phone
(978) 455-8244
Fax
(978) 455-7296
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 15-01417 Primary

Addresses

Primary practice location

248 Mill Rd Ste 3
Chelmsford, MA 01824-4148

Mailing address

248 Mill Rd Ste 3
Chelmsford, MA 01824-4148
Phone (978) 455-8244

Other practice location 1

83 Pine St Ste 102
Peabody, MA 01960-3635
Phone (978) 717-5062

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Recreational Education Center, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1972091148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 MILL RD STE 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244148",
            "telephone_number": "978-455-8244",
            "fax_number": "978-455-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 MILL RD STE 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244148",
            "telephone_number": "978-455-8244",
            "fax_number": "978-455-7296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Pine St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019603635",
            "country_code": "US",
            "telephone_number": "978-717-5062",
            "fax_number": "978-717-5064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODD",
        "first_name": "JONATHAN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "15-01417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.