COASTAL ABA (NPI# 1578932927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578932927 |
| Entity Type | Organization |
| Organization Name | COASTAL ABA |
| Practice Address |
120 Laurel St Duxbury MA 02332-2936 |
| Practice Telephone | 6176208588 |
| Mailing Telephone | 6176208588 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | ADAM CLARK (MANAGER) |
| Authorized Official Telephone | 6176208588 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1107529 | MA | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COASTAL ABA, LLC | 120 Laurel Street, Duxbury, MA 02332 |
| Street Address |
120 LAUREL ST |
| City | DUXBURY |
| State | MA |
| Zip Code | 02332-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861940728 | Adam Clark | Behavioral Analyst | 120 Laurel St, Duxbury, MA 02332-2936 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477048106 | Steven Leckie Md LLC | Electrodiagnostic Medicine | 68 Alden St, Duxbury, MA 02332 | 2018-06-25 |
| 1750837357 | Sarah-ruth Roberts | Physical Therapist | 25 Stagecoach Rd, Duxbury, MA 02332 | 2016-09-01 |
| 1346653409 | Joy Marie John | Dentist | 95 Tremont St. Suite 18, Duxbury, MA 02332 | 2014-06-06 |
| 1861797441 | Susan P. Horton | Social Worker | 260 Washington St., Duxbury, MA 02332 | 2011-01-13 |
| 1619133360 | Joseph Santelli | Dentist | 33 Enterprise St, Suite #9, Duxbury, MA 02332 | 2008-08-01 |
| 1093981250 | Anne Marie Tougas | Registered Nurse | 621 Lincoln Street, Duxbury, MA 02332 | 2008-05-07 |
| 1114149044 | Elaine Lapides | Marriage & Family Therapist | 113 Tremont Street, Duxbury, MA 02332 | 2007-05-02 |
| 1831239987 | Kristen N Favreau | Chiropractor | 178 St George Street, Duxbury, MA 02332 | 2007-02-07 |
| 1194882670 | Susan June Cohen | Social Worker | 20 Tremont Street, Suite 12b, Buxbury, MA 02332 | 2007-01-03 |
| 1932282357 | Siobhan Marie Sheehan | Dentist | 1510 Tremont Street, Duxbury, MA 02332 | 2006-10-21 |
| Find all providers in zip 02332 | ||||
| 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 |
|---|---|---|---|---|
| 1629377536 | Duxbury Counseling | Community/Behavioral Health | 113 Tremont Street, Duxbury, MA 02332-5117 | 2011-03-17 |
| 1558680637 | Larsen K Bergen | Community/Behavioral Health | 113 Tremont St, Duxbury, MA 02332-4753 | 2010-05-27 |
| 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 | ||||
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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.