Active NPI
Alexandra Mazza, CCC-SLP
- Speech-Language Pathologist
- East Longmeadow, MA
National Provider Identifier
1063153757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 78443
- Practice address
- 96 Lee St
East Longmeadow, MA 01028-3142 - Phone
- (413) 335-5053
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14242419 | CA | |
| Speech-Language Pathologist | 235Z00000X | 78443 | MA | Primary |
Addresses
Primary practice location
96 Lee St
East Longmeadow, MA 01028-3142
Mailing address
96 Lee St
East Longmeadow, MA 01028-3142
Phone (413) 335-5053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240409001510 | MA | Practitioner - Qualified Speech Language Pathologist | 2567800626 | Practice locations: Salem, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14242419 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749340800000",
"number": "1063153757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 LEE ST",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010283142",
"telephone_number": "413-335-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 LEE ST",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010283142",
"telephone_number": "413-335-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZA",
"first_name": "ALEXANDRA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2025-06-08",
"certification_date": "2025-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "14242419",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "78443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.