Organization Active NPI

Valley Speech Services LLC

  • Speech-Language Pathologist
  • South Hadley, MA
National Provider Identifier
1083340129
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
VALLEY SPEECH SERVICES LLC
Practice address
439 Granby Rd Ste 1
South Hadley, MA 01075-2213
Phone
(413) 575-8682
Fax
(413) 322-8061
NPI assigned
Jul 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Robin DavisNPI 1033435417
Title
Owner
Phone
(413) 575-8682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

439 Granby Rd Ste 1
South Hadley, MA 01075-2213

Mailing address

439 Granby Rd Ste 1
South Hadley, MA 01075-2213
Phone (413) 575-8682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230328002332 MA Part B Supplier - Clinic/Group Practice 1456725720 Receives reassigned benefits from 1 practitioner
Practice locations: South Hadley, MA

National Provider Directory

National Provider Directory

Locations

29 College St
Ste 9
South Hadley, MA 01075
Phone (413) 533-3526

439 Granby Rd
Ste 1
South Hadley, MA 01075
Phone (413) 575-8682

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1083340129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 GRANBY RD STE 1",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752213",
            "telephone_number": "413-575-8682",
            "fax_number": "413-322-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 GRANBY RD STE 1",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752213",
            "telephone_number": "413-575-8682",
            "fax_number": "413-322-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SPEECH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-30",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-575-8682"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.

Verify at the official NPI Registry.