MR. KEVIN JAMES MOYER-WILKES M.ED. NCC NPI 1851639488

NPI Information

NPI: 1851639488
Provider Name: MR. KEVIN JAMES MOYER-WILKES, M.ED., NCC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Individual
Address:
1 ELMWOOD PL
BOYLSTON, MA
ZIP 01505
Phone: (508) 869-0197
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MR. Kevin James Moyer-wilkes, M.ED., NCC is a residential treatment facility emotionally disturbed children in Boylston, MA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. MR. Kevin James Moyer-wilkes, M.ED., NCC NPI is 1851639488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 ELMWOOD PL
BOYLSTON, MA
ZIP 01505-040
Phone: (508) 869-0197
Fax: (508) 869-0313

The enumeration date for this NPI number is 1/16/2013 and was last updated on 1/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YS0200X	Counselor	School	463166	MASSACHUSETTS	No
2	101YS0200X	Counselor	School	C062011002701	CONNECTICUT	No
3	101YS0200X	Counselor	School	10606058	PENNSYLVANIA	No
4	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children			MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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