NPIMap

Organization Active NPI

North Shore Children's Therapies

  • Speech-Language Pathologist
  • Peabody, MA
National Provider Identifier
1033498522
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6457 Issued in MA
Legal business name
NORTH SHORE CHILDREN'S THERAPIES
Practice address
1R Newbury St
Suite 303
Peabody, MA 01960-3864
Phone
(617) 529-1573
Fax
(978) 535-4655
NPI assigned
Aug 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Mrs. Jeannette M Kahn, MA, CCC-SLP
Title
Owner
Phone
(978) 535-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 6457 MA Primary

Addresses

Primary practice location

1R Newbury St
Suite 303
Peabody, MA 01960-3864

Mailing address

1R Newbury St
Suite 303
Peabody, MA 01960-3864
Phone (617) 529-1573

National Provider Directory

National Provider Directory
Tax ID family
North Shore Children's Therapies3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1033498522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST",
            "address_2": "SUITE 303",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603864",
            "telephone_number": "617-529-1573",
            "fax_number": "978-535-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST",
            "address_2": "SUITE 303",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603864",
            "telephone_number": "617-529-1573",
            "fax_number": "978-535-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE CHILDREN'S THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-535-3355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.