NPIMap

Individual provider Active NPI

Nellie M Rostocki, LADCI

  • Addiction (Substance Use Disorder) Counselor
  • Attleboro, MA
National Provider Identifier
1972761526
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1870 Issued in MA
Practice address
140 Park St
Attleboro, MA 02703-3064
Phone
(508) 222-7525
Fax
(508) 223-4453
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1870 MA Primary

Addresses

Primary practice location

140 Park St
Attleboro, MA 02703-3064

Mailing address

140 Park St
Attleboro, MA 02703-3064
Phone (508) 222-7525

Other identifiers 1

IdentifierTypeStateIssuer
130961MedicaidMA

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

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1972761526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PARK ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033064",
            "telephone_number": "508-222-7525",
            "fax_number": "508-223-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PARK ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033064",
            "telephone_number": "508-222-7525",
            "fax_number": "508-223-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTOCKI",
        "first_name": "NELLIE",
        "middle_name": "M",
        "credential": "LADCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130961",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.