NPIMap

Organization Active NPI

CBS Therapy

  • Behavior Analyst
  • Cranston, RI
National Provider Identifier
1982075495
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11313152
Legal business name
CBS THERAPY
Practice address
626 Park Ave
Unit 2a
Cranston, RI 02910-2154
Phone
(401) 270-9991
NPI assigned
Oct 9, 2015
Last updated
Oct 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Ms. Jennifer Matteson
Title
Office Manager
Phone
(401) 270-9991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11313152 Primary

Addresses

Primary practice location

626 Park Ave
Unit 2a
Cranston, RI 02910-2154

Mailing address

626 Park Ave
Unit 2a
Cranston, RI 02910-2154
Phone (401) 270-9991

Other identifiers 1

IdentifierTypeStateIssuer
1063744043MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
CBS Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

626 Park Ave
Unit 2A
Cranston, RI 02910
Phone (401) 270-9991

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1982075495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 PARK AVE",
            "address_2": "UNIT 2A",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102154",
            "telephone_number": "401-270-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 PARK AVE",
            "address_2": "UNIT 2A",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102154",
            "telephone_number": "401-270-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "MATTESON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-270-9991",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "11313152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063744043",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.