Beverly Mara Blatt, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2556 Issued in MA

Practice address

243 King St
Suite 242
Northampton, MA 01060-2451

Phone

(413) 584-0265

Fax

(413) 584-2031

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Learning Solutions for Learning Success

  • Speech-Language Pathologist
  • Northampton, MA
  • NPI 1558579623
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114038239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W PARSONS LN",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623668",
            "telephone_number": "413-586-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 KING ST",
            "address_2": "SUITE 242",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602451",
            "telephone_number": "413-584-0265",
            "fax_number": "413-584-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "BEVERLY",
        "middle_name": "MARA",
        "name_prefix": "Ms.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "2556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0395889",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Scott Blackburn
• Dana Blackburn, LICSW
• Maureen Blackmore, LICSW
• Benjamin Cooper Blair, MA, MFA
• Christopher Blair
• Marc A. Bleicher, M.D.
• Swansea Benham Bleicher
• Amy Bleiweiss X, SPEECH LANGUAGE PATH
• Sophia Bletsos
• Arieh Blowers

• Speech-Language Pathologist in Northampton, MA
• Providers in Northampton, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.