Organization Active NPI

Pioneer Valley Speech and Swallowing Solutions LLC

  • Speech-Language Pathologist
  • Wilbraham, MA
National Provider Identifier
1093250581
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7892 Issued in MA
Legal business name
PIONEER VALLEY SPEECH AND SWALLOWING SOLUTIONS LLC
Practice address
222 Maynard Rd
Wilbraham, MA 01095-1226
Phone
(413) 289-4746
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Erica Lee Bell, MA,CCC-SLPNPI 1750619128
Title
Sole Member
Phone
(413) 289-4746

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 7892 MA Primary

Addresses

Primary practice location

222 Maynard Rd
Wilbraham, MA 01095-1226

Mailing address

222 Maynard Rd
Wilbraham, MA 01095-1226
Phone (413) 289-4746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170217001333 MA Part B Supplier - Clinic/Group Practice 2466735451 Receives reassigned benefits from 3 practitioners
Practice locations: Wilbraham, MA

National Provider Directory

National Provider Directory

Locations

2040 Boston Rd
Ste 18
Wilbraham, MA 01095
Phone (413) 289-4746

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1093250581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MAYNARD RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951226",
            "telephone_number": "413-289-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MAYNARD RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951226",
            "telephone_number": "413-289-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER VALLEY SPEECH AND SWALLOWING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "413-289-4746",
        "authorized_official_credential": "MA,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.