Individual provider Active NPI

Cullen Doris Silva, CCC SLP

  • Speech-Language Pathologist
  • Waltham, MA
National Provider Identifier
1013122373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6 208592 Issued in MA
Practice address
977 Main St
Communicative Health Care Associates
Waltham, MA 02451-7406
Phone
(781) 899-4709
Fax
(781) 899-4788
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6 208592 MA Primary
Speech-Language Pathologist 235Z00000X 00666008 CA

Addresses

Primary practice location

977 Main St
Communicative Health Care Associates
Waltham, MA 02451-7406

Mailing address

1020 Somerset Ave
Unit #27
North Dighton, MA 02764-1845
Phone (508) 669-5342

Other identifiers 1

IdentifierTypeStateIssuer
0346195MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6MAMDMental Health Counselor
00666008CAMDSpeech-Language Pathologist
6 208592MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013122373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SOMERSET AVE",
            "address_2": "UNIT #27",
            "city": "NORTH DIGHTON",
            "state": "MA",
            "postal_code": "027641845",
            "telephone_number": "508-669-5342",
            "fax_number": "508-669-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 MAIN ST",
            "address_2": "COMMUNICATIVE HEALTH CARE ASSOCIATES",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517406",
            "telephone_number": "781-899-4709",
            "fax_number": "781-899-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "CULLEN",
        "middle_name": "DORIS",
        "name_prefix": "Ms.",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6 208592",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "00666008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346195",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.