Healthcare Provider Details

I. General information

NPI: 1417158510
Provider Name (Legal Business Name): JAMES S SILVIA LADC1
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WASHINGTON STREET
TAUNTON MA
02780
US

IV. Provider business mailing address

38 MARKS WAY
CARVER MA
02330-1748
US

V. Phone/Fax

Practice location:
  • Phone: 508-828-9675
  • Fax: 508-823-2519
Mailing address:
  • Phone: 508-828-9675
  • Fax: 508-821-2519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number1737
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1737
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: