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MINUTEMAN ARC EARLY INTERVENTION PROGRAM
NPI 1205017886
Community/Behavioral Health in Concord, MA

Active since November 23, 2007CLIA 22D1072415 · Waiver
1269 MAIN ST, CONCORD, MA 01742(978) 287-7800 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Minuteman Arc Early Intervention Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINUTEMAN ARC EARLY INTERVENTION PROGRAM (NPI 1205017886) is a healthcare organization registered as a community/behavioral health in Concord, Massachusetts and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Sheila M Nobrega, Developmental Specialist, as its authorized official.

NPPES Registry Identity

NPI1205017886
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMINUTEMAN ARC EARLY INTERVENTION PROGRAM
Location Address1269 MAIN STConcord, MA 01742-3099
Mailing Address1269 Main StConcord, MA 01742-3099 · (978) 287-7800
Phone(978) 287-7800
Organization SubpartNo
Authorized OfficialSheila M NobregaDevelopmental Specialist · (978) 287-7826
Enumeration DateNovember 23, 2007
✔ NPI 1205017886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MA · 042-269-230
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

1269 MAIN ST, Concord, MA 01742
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D1072415

Minuteman Arc · Concord, MA
Active · expires Aug 15, 2027
CLIA Number22D1072415
Laboratory TypeResidential Homes For Dds
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorBob Harris
Laboratory Phone(978) 287-7916
Laboratory LocationMinuteman Arc1269 Main Street, Concord, MA 01742
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ALEXANDER D. CHATFIELD LICSW
Social Worker (Clinical)
1269 MAIN ST
CONCORD, MA 01742
Middlesex County (978) 287-7800
MS. KIMBERLY SHURLING OTR/L
Occupational Therapist
1269 MAIN ST
CONCORD, MA 01742
Middlesex County (978) 287-7800
MS. GALE ANN MERLE
Speech-Language Pathologist
1269 MAIN ST
CONCORD, MA 01742
Middlesex County (781) 334-6605
JANNETTE M STEED
Speech-Language Pathologist
1269 MAIN ST
CONCORD, MA 01742
Middlesex County (978) 287-7956
MS. MARY KATHERINE EVANS PTMS
Physical Therapist (Pediatrics)
1269 MAIN ST
CONCORD, MA 01742
Middlesex County (978) 287-7800
ALICE LEE M.A., CCC-SLP
Speech-Language Pathologist
1269 MAIN ST
CONCORD, MA 01742
Middlesex County (978) 287-7800
LAURIE ANN PARKS M. ED. M.S.
Developmental Therapist
1269 MAIN ST
CONCORD, MA 01742
Middlesex County (978) 287-7800
MRS. CHERYL ANN KOCZUR RN
Registered Nurse
1269 MAIN ST
CONCORD, MA 01742
Middlesex County (197) 828-7780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minuteman Arc Early Intervention Program's NPI number?

The NPI number for Minuteman Arc Early Intervention Program is 1205017886. It was assigned to this organization in the NPPES registry on November 23, 2007.

Where is Minuteman Arc Early Intervention Program located?

Minuteman Arc Early Intervention Program is located at 1269 Main St, Concord, MA 01742. The listed phone number is (978) 287-7800.

What is Minuteman Arc Early Intervention Program's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Minuteman Arc Early Intervention Program hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D1072415) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Minuteman Arc Early Intervention Program was last updated on November 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.