ACADEMIC & BEHAVIORAL ASSESSMENT CENTER (NPI# 1417160367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417160367 |
| Entity Type | Organization |
| Organization Name | ACADEMIC & BEHAVIORAL ASSESSMENT CENTER |
| Practice Address |
895 Blue Hill Ave Dorchester Center MA 02124-2902 |
| Mailing Address |
Po Box 190789 Roxbury MA 02119-0015 |
| Practice Telephone | 6178220829 |
| Practice Fax Number | 6178257804 |
| Mailing Telephone | 6178220829 |
| Mailing Fax Number | 6178257804 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TERRI BETTS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6178220829 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
895 BLUE HILL AVE |
| City | DORCHESTER CENTER |
| State | MA |
| Zip Code | 02124-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235358425 | Asha Tenia Lewis | Counselor | 895 Blue Hill Ave, Dorchester Center, MA 02124-2902 | 2007-04-25 |
| 1407405533 | Nofar Soffer | Student in an Organized Health Care Education/Training Program | 895 Blue Hill Ave, Dorchester Center, MA 02124-2902 | 2019-09-11 |
| 1528522950 | Christopher John Conroy | Counselor | 895 Blue Hill Ave, Dorchester Center, MA 02124-2902 | 2019-01-30 |
| 1346782828 | Stephanie Webbe | Counselor | 895 Blue Hill Ave, Dorchester Center, MA 02124-2902 | 2016-11-15 |
| 1336380971 | Help Services Network, Inc. | In Home Supportive Care | 895 Blue Hill Ave, Dorchester Center, MA 02124-2902 | 2009-03-11 |
| 1245488006 | Suyapa Beatrice Allen | Marriage & Family Therapist | 895 Blue Hill Ave, Dorchester Center, MA 02124-2902 | 2008-09-05 |
| 1427221597 | Carlos Y Castillo | Psychologist | 895 Blue Hill Ave, Dorchester Center, MA 02124-2902 | 2008-04-09 |
| 1730392812 | Terri Betts | Psychologist | 895 Blue Hill Ave, Dorchester Center, MA 02124-2902 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265645261 | Academic & Behavioral Clinic | Community/Behavioral Health | 995 Blue Hill Ave, Dorchester Center, MA 02124-2828 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132458 | Autism Behavioral & Therapeutic Services | Community/Behavioral Health | 5 Bedford Ave, Worcester, MA 01604-4707 | 2020-10-20 |
| 1508463811 | Clear Minded Care, Pllc | Community/Behavioral Health | 519 Somerville Ave # 291, Somerville, MA 02143-3347 | 2020-10-08 |
| 1316544455 | Barbara J Doyle Counseling Services Professional LLC | Community/Behavioral Health | 20 Hope Ave Ste 107, Waltham, MA 02453-2717 | 2020-10-01 |
| 1013524917 | Leonid G Zolotnitskiy Md PC | Community/Behavioral Health | 1853 Commonwealth Ave Ste 1, Brighton, MA 02135-5498 | 2020-09-25 |
| 1811502966 | R.e.s.t. Counseling Services, LLC | Community/Behavioral Health | 36 Tirrell St # 1, Worcester, MA 01603-2617 | 2020-09-14 |
| 1972118719 | Jose Alfredo Lugo-estrada | Community/Behavioral Health | 484 Bedford St Unit 2, East Bridgewater, MA 02333-1908 | 2020-09-09 |
| 1992318927 | Jessie Odegard Pllc | Community/Behavioral Health | 144 Sudbury Rd, Weston, MA 02493-1351 | 2020-08-28 |
| 1750994109 | Summit Community Services, LLC | Community/Behavioral Health | 214 Exchange St, Millis, MA 02054-1277 | 2020-08-26 |
| 1013527860 | Tara Goldberg | Community/Behavioral Health | 21 Wilson Ave, Northampton, MA 01060-3813 | 2020-08-06 |
| 1619587490 | Maat Therapeutic Solutions Inc. | Community/Behavioral Health | 1773 Dorchester Ave Ste 3, Boston, MA 02124-2556 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER CENTER |
| Zip Code | 02124 |
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| 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.