Organization Active NPI

Speakteasy

  • Marriage & Family Therapist
  • Randolph, MA
National Provider Identifier
1184238917
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SPEAKTEASY
Practice address
72 Belcher St
Randolph, MA 02368-3712
Phone
(774) 319-1195
NPI assigned
Aug 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Brittney Slater, LMFT
Title
Owner
Phone
(774) 319-1195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

72 Belcher St
Randolph, MA 02368-3712

Mailing address

72 Belcher St
Randolph, MA 02368-3712
Phone (774) 319-1195

Other names 1

  • SpeakTeasy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1184238917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BELCHER ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683712",
            "telephone_number": "774-319-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BELCHER ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683712",
            "telephone_number": "774-319-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAKTEASY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-319-1195",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpeakTeasy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.