Robert Raymond Belisle

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2127 Issued in MA

Practice address

7 Andrew Cir
North Andover, MA 01845-5227

Phone

(978) 857-2464

NPI assigned

Jun 27, 2019

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1972164127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ANDREW CIR",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455227",
            "telephone_number": "978-857-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ANDREW CIR",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455227",
            "telephone_number": "978-857-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELISLE",
        "first_name": "ROBERT",
        "middle_name": "RAYMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "2127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bobbelisle@outlook.com",
            "affiliation": "N",
            "address_1": "7 Andrew Cir",
            "city": "North Andover",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018455227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bear Mt North Andover, LLC (Prescott House)
• Robert P Beaudoin, MSW ACSW LICSW
• Susanne Marie Becker, PTA
• Gabrielle Beijer
• Karen Anna Belden, DVM
• Eugene Charles Beliveau, D.D.S
• Cynthia Eileen Bellino, OTR
• Jessica L Belongia, P.T.
• Sheila Bennett, DVM
• Karen Lee Benson, LMT

• Addiction (Substance Use Disorder) Counselor in North Andover, MA
• Providers in North Andover, 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 Jun 27, 2019; 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.