Individual provider Active NPI

Sarah R Boretz, MS, CCC-SLP

  • Speech-Language Pathologist
  • Springfield, MA
National Provider Identifier
1104081538
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6938 Issued in MA
Practice address
80 Congress St
106
Springfield, MA 01104-3427
Phone
(413) 732-0777
Fax
(413) 732-0007
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6938 MA Primary

Addresses

Primary practice location

80 Congress St
106
Springfield, MA 01104-3427

Mailing address

80 Congress St
106
Springfield, MA 01104-3427
Phone (413) 732-0777

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

State licenses

LicenseStateTypeSpecialty
6938MAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1104081538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CONGRESS ST",
            "address_2": "106",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043427",
            "telephone_number": "413-732-0777",
            "fax_number": "413-732-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CONGRESS ST",
            "address_2": "106",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043427",
            "telephone_number": "413-732-0777",
            "fax_number": "413-732-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORETZ",
        "first_name": "SARAH",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.