Stacey Slate PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STACEY SLATE PLLC

Practice address

875 Massachusetts Ave
Cambridge, MA 02139-3067

Phone

(617) 575-9238

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Stacey Slate, LMHCNPI 1558870907

Title

Owner

Phone

(617) 575-9238

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Slate

  • Mental Health Counselor
  • Cambridge, MA
  • NPI 1558870907
  NPD Authorized official

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1114533312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 TEEL ST APT 2",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024745536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393067",
            "telephone_number": "617-575-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY SLATE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "SLATE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-575-9238",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Spurgeon
• Ambika Srivastava, MD
• Gerda M St. Fort, RN
• Melissa Elizabeth St. John, LMFT
• Shyanne Lee St. Paul, BSN, RN, CNM, WHNP
• Susan Gale Stahl, PH.D.
• Claire B Stampfer, MD
• Kenneth A Stampfer, MD
• Joel Stanley, MA, MHC
• Elizabeth Margaret Stanton, RD, LDN

• Mental Health Counselor in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.