Ellen C. Gleason, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2502 Issued in MA

Practice address

5 N Meadows Rd
SLP Associates, PC
Medfield, MA 02052-2317

Phone

(508) 359-4532

Fax

(508) 359-0198

NPI assigned

Nov 18, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Speech-Language and Hearing Associates of Greater Boston, PC

  • Audiologist
  • Medfield, MA
  • NPI 1093974073

  Speech-Language Pathologist

  NPD (past)
• Speech-Language and Hearing Associates of Greater Boston, PC

  • Speech-Language Pathologist
  • Medfield, MA
  • NPI 1942270574
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1003061086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N MEADOWS RD",
            "address_2": "SLP ASSOCIATES, PC",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522317",
            "telephone_number": "508-359-4532",
            "fax_number": "508-359-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N MEADOWS RD",
            "address_2": "SLP ASSOCIATES, PC",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522317",
            "telephone_number": "508-359-4532",
            "fax_number": "508-359-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "ELLEN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "2502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE A",
            "identifier": "226538",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "SG0013",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3668706",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "620733",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "626557",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Seval Genatossio, RN,MPH
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• Kelly Ann Gibbons, M.S., CCC-SLP
• Glick Orthodontics, P.C.
• Geoffrey Michael Glick, D.M.D.
• Pamela S Godsoe, CCC-SLP
• Stanley Joel Goodman, CNP
• Deanna P. Groen, DDS

• All providers in Medfield, MA
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.