Active NPI
Norfolk County Speech Services
- Speech-Language Pathologist
- Norwood, MA
National Provider Identifier
1124375332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2214
- 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
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./SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0377856 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Norwood, MA
- NPI 1073758942
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.