MS. NICOLE MARIE KANTOR


Address: 182 Church St Apt 3, Newton, MA 02458-1962
Phone: 4132810999

MS. NICOLE MARIE KANTOR (NPI# 1326587288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326587288
Entity Type Individual
Full Name MS. NICOLE MARIE KANTOR
Credential M.ED., G.C.ABA, CAN.
Practice Address 182 Church St Apt 3
Newton
MA 02458-1962
Practice Telephone 4132810999
Mailing Telephone 4132819999
Enumeration Date 2017-02-13
Last Update Date 2020-10-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities
Y 251S00000X Community/Behavioral Health Agencies
N 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 106S00000X Behavior Technician 1326587288 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA NPI 1326587288 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1660 Soldiers Field Rd, Brighton, MA 021351108 4132810999
60 Gibson St Apt 210, Dorchester, MA 021221245 4132810999
70 Union Street Apt 2, Brighton, MA 02135 4132810999

Office Location

Street Address 182 CHURCH ST APT 3
City NEWTON
State MA
Zip Code 02458-1962

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1346618519 Jessica Farnsworth Kruss Counselor 425 Rear Watertown St., Newton, MA 02458 2015-09-04
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912538885 Neighbours-inc Community/Behavioral Health 70 W End Ave Bldg 3, Apartment 4b, Newton, NJ 07860-1540 2020-01-30
1770938482 Live Free Recovery Consultants Community/Behavioral Health 2 Puzzle Ln, Bldg2 Unit1, Newton, NH 03858-3721 2016-05-01
1376824094 Rha Health Services Nc, LLC Community/Behavioral Health 505 S Main Ave, Newton, NC 28658-3422 2011-09-08
1043446263 Walkers Intensive In Home Service Community/Behavioral Health 605 W 25th St, Newton, NC 28658-3761 2009-06-02
1265686315 Care By Design LLC Community/Behavioral Health 501 Holly Ln, Newton, KS 67114-4633 2008-11-14
1194929315 The Academy of Physical and Social Development Community/Behavioral Health 425 R Watertown Street, Newton, MA 02458 2007-06-12
1598882193 The Mental Health Fund Inc Community/Behavioral Health 1679 Us Hwy 321 S, Newton, NC 28658-0000 2007-03-26
1871625210 Rha Health Services Nc, LLC Community/Behavioral Health 1754 Getrag Pkwy, Newton, NC 28658-9024 2007-03-12
1417082702 Rha Health Services Nc, LLC Community/Behavioral Health 1754 Gkn Way, Newton, NC 28658-9071 2007-02-23
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Competitor

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City NEWTON
Zip Code 02458

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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