Provider Demographics
NPI:1801303623
Name:A NEW APPROACH, PLLC
Entity type:Organization
Organization Name:A NEW APPROACH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MARYELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, BCBA, LABA
Authorized Official - Phone:781-767-7737
Mailing Address - Street 1:1017 TURNPIKE ST STE 13
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2828
Mailing Address - Country:US
Mailing Address - Phone:781-767-7737
Mailing Address - Fax:
Practice Address - Street 1:1017 TURNPIKE ST STE 13
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-2828
Practice Address - Country:US
Practice Address - Phone:781-767-7737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA409103K00000X
MA9732101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1457614448Medicaid