Active NPI
Susan Blatt Summers, MS, CCC-SLP
- Speech-Language Pathologist
- Marblehead, MA
National Provider Identifier
1215089115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2565
- Practice address
- 13 Monroe Rd
Marblehead, MA 01945-2834 - Phone
- (781) 639-2230
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2565 | MA | Primary |
Addresses
Primary practice location
13 Monroe Rd
Marblehead, MA 01945-2834
Mailing address
13 Monroe Rd
Marblehead, MA 01945-2834
Phone (781) 639-2230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2565 | Other | MA | LICENSE -SPEECH LANGUAGE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2565 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1215089115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 MONROE RD",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019452834",
"telephone_number": "781-639-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 MONROE RD",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019452834",
"telephone_number": "781-639-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "SUSAN",
"middle_name": "BLATT",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "2565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE -SPEECH LANGUAGE",
"identifier": "2565",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marblehead, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.