Individual provider Active NPI

Jane Elizabeth Sackett, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Amherst, MA
National Provider Identifier
1104903665
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5984 Issued in MA
Practice address
358 N Pleasant St
Amherst, MA 01003-9296
Phone
(413) 545-2526
Fax
(413) 545-8670
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5987 MA
Speech-Language Pathologist 235Z00000X 5984 MA Primary

Addresses

Primary practice location

358 N Pleasant St
Amherst, MA 01003-9296

Mailing address

358 N Pleasant St
Amherst, MA 01003-9296
Phone (413) 545-2526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170512000398 MA Practitioner - Qualified Speech Language Pathologist 3072890433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
University of MassachusettsGroup PAC ID 6507843760, 6 clinicians

Practice addresses (Care Compare)

358 N Pleasant St
Amherst, MA 01003-9296
Phone (413) 545-2565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5987CTMDGeneral Practice Dentistry
5984MAMDSpeech-Language Pathologist
5987MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Massachusetts Speech-Language Pathologist CurrentSince Apr 8, 2017 Accepting new patients
University of Massachusetts Speech-Language Pathologist PastSince Apr 8, 2017 Accepting new patients

Locations

150 Infirmary Way
Amherst, MA 01003
Phone (413) 577-5000

358 N Pleasant St
Amherst, MA 01003
Phone (413) 545-2565

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104903665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 N PLEASANT ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039296",
            "telephone_number": "413-545-2526",
            "fax_number": "413-545-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N PLEASANT ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039296",
            "telephone_number": "413-545-2526",
            "fax_number": "413-545-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKETT",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5987",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.