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Elizabeth Jean Nolan-Stack

Behavior Analyst β€’ Bedford, MA

Active NPI 1669746244 Individual Practitioner Female Practitioner
Practice location in NPPES

205 Burlington Rd
Bedford, MA 017301406

Call 7817615077 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

205 Burlington Rd

Bedford, MA 017301406

Telephone 7817615077
Organization at the Same NPPES Address or Phone
Edinburg Center Inc Facility NPI 1073617353

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bedford and Massachusetts

39 active clinicians are listed under Behavior Analyst with a practice address in Bedford, MA (4,730 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bedford

0% of these 39 clinicians have the CMS telehealth indicator.

0% of these 39 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1303287 (MA)
Other Identifier Mbhp
1303287 (MA)
Other Identifier Bcbs
M18633 (MA)
Other Identifier Taxid
042611055 (MA)
Other Identifier Nhp
1004745 (MA)
Other Identifier Bmc
0000023532 (MA)
Other Identifier Network Health
99618201 (MA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Linda Ploude , MSW

Counselor - Mental Health

NPI 1144593864

Master of Social Work

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 04, 2020

Registered at 205 BURLINGTON RD, BEDFORD, MA 017301406 (Tel: 7817615077)

πŸ“
Updated Business Mailing Address November 04, 2020

Registered at 205 BURLINGTON RD, BEDFORD, MA 017301406 (Tel: 7817615077)

βœ…
NPI Profile Active February 29, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 29, 2012

Registered at 1040 WALTHAM ST, LEXINGTON, MA 024218033 (Tel: 7817615077)

πŸ“
Business Mailing Address (Initial Record) February 29, 2012

Registered at 1040 WALTHAM ST, LEXINGTON, MA 024218033 (Tel: 7817615077)

πŸ‘€
Provider Name / Credentials (Initial Record) February 29, 2012

Recorded as ELIZABETH NOLAN-STACK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2012

Counselor

🟒
Initial NPI Registration & Enumeration February 29, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669746244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 29, 2012
Last Update: November 04, 2020
Sole Proprietor: No

Mailing Address

205 Burlington Rd

Bedford, MA 017301406

Phone: 7817615077

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.