Active NPI
Filomena Dacruz Daveiga, LADC II
- Counselor
- Brockton, MA
National Provider Identifier
1982955324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2387
- Practice address
- 76 Coolidge Ave
Brockton, MA 02302-3356 - Phone
- (774) 297-0735
- NPI assigned
- Sep 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2387 | MA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2387 | MA | |
| Mental Health Counselor | 101YM0800X | 2387 | MA |
Addresses
Primary practice location
76 Coolidge Ave
Brockton, MA 02302-3356
Mailing address
76 Coolidge Ave
Brockton, MA 02302-3356
Phone (774) 297-0735
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2387 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1982955324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 COOLIDGE AVE",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023356",
"telephone_number": "774-297-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 COOLIDGE AVE",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023356",
"telephone_number": "774-297-0735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVEIGA",
"first_name": "FILOMENA",
"middle_name": "DACRUZ",
"name_prefix": "Ms.",
"credential": "LADC II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "2387",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "2387",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "2387",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.