Organization Active NPI

Norfolk County Speech Services

  • Speech-Language Pathologist
  • Norwood, MA
National Provider Identifier
1124375332
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2214 Issued in MA
Legal business name
NORFOLK COUNTY SPEECH SERVICES
Practice address
594 Nahatan St
Norwood, MA 02062-1445
Phone
(617) 823-9079
Fax
(781) 762-3122
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Ms. Kathleen Anne Davis, M.A., C.C.C./SLPNPI 1073758942
Title
Owner
Phone
(617) 823-9079

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2214 MA Primary

Addresses

Primary practice location

594 Nahatan St
Norwood, MA 02062-1445

Mailing address

450 N Main St
Sharon, MA 02067-1172
Phone (617) 823-9079

Other identifiers 1

IdentifierTypeStateIssuer
0377856MedicaidMA

National Provider Directory

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": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1124375332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N MAIN ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671172",
            "telephone_number": "617-823-9079",
            "fax_number": "781-762-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 NAHATAN ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020621445",
            "telephone_number": "617-823-9079",
            "fax_number": "781-762-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORFOLK COUNTY SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-823-9079",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., C.C.C./SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "2214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0377856",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.