NPIMap

Organization Active NPI

Speech and Language Development Center, LLC.

  • Occupational Therapist
  • Springfield, MA
National Provider Identifier
1114164647
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SPEECH AND LANGUAGE DEVELOPMENT CENTER, LLC.
Practice address
80 Congress St Ste 106
Springfield, MA 01104-3427
Phone
(413) 732-0777
Fax
(413) 732-0007
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Mrs. Deborah Mode, MS, CCC-SLPNPI 1962536862
Title
SLP
Phone
(413) 732-0777

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
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X MA Primary

Addresses

Primary practice location

80 Congress St Ste 106
Springfield, MA 01104-3427

Mailing address

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

Other identifiers 5

IdentifierTypeStateIssuer
0714224MedicaidMA
732022OtherCTCONNECTICARE
SP0231OtherMABLUE CROSS BLUE SHIELD OF MA
42703OtherMAHEALTH NEW ENGLAND
1962536862OtherMABMC HEALTHNET

National Provider Directory

National Provider Directory
Tax ID family
Speech and Language Development Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1114164647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CONGRESS ST STE 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 STE 106",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043427",
            "telephone_number": "413-732-0777",
            "fax_number": "413-732-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND LANGUAGE DEVELOPMENT CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MODE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "413-732-0777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0714224",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "732022",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MA",
            "identifier": "SP0231",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "42703",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "1962536862",
            "state": "MA"
        }
    ],
    "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 Jan 21, 2009; 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.