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Organization Active NPI

Crest

  • Developmentally Disabled Services Day Training Agency
  • Methuen, MA
National Provider Identifier
1972964450
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
11111 Issued in MA
Legal business name
CREST
Practice address
9 Branch St
Methuen, MA 01844-1955
Phone
(978) 685-3000
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Kim Oliveira, CAGS
Title
Executive Director
Phone
(978) 685-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 11111 MA Primary

Addresses

Primary practice location

9 Branch St
Methuen, MA 01844-1955

Mailing address

9 Branch St
Methuen, MA 01844-1955
Phone (978) 685-3000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1972964450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRANCH ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441955",
            "telephone_number": "978-685-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRANCH ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441955",
            "telephone_number": "978-685-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-685-3000",
        "authorized_official_credential": "CAGS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MA",
            "license": "11111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.