Active NPI
Amy M Coughlin, M.S., CCC-SLP
- Speech-Language Pathologist
- Canton, MA
National Provider Identifier
1063487346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5406
- Practice address
- 340 Turnpike St
Suite 1-3a
Canton, MA 02021-2700 - Phone
- (781) 619-1500
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5406 | MA | Primary |
Addresses
Primary practice location
340 Turnpike St
Suite 1-3a
Canton, MA 02021-2700
Mailing address
340 Turnpike St
Suite 1-3a
Canton, MA 02021-2700
Phone (781) 619-1500
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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Center for Child Development Community | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1063487346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 TURNPIKE ST",
"address_2": "SUITE 1-3A",
"city": "CANTON",
"state": "MA",
"postal_code": "020212700",
"telephone_number": "781-619-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 TURNPIKE ST",
"address_2": "SUITE 1-3A",
"city": "CANTON",
"state": "MA",
"postal_code": "020212700",
"telephone_number": "781-619-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGHLIN",
"first_name": "AMY",
"middle_name": "M",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "5406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.