Stephanie Bejtlich, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7482 Issued in MA

Practice address

107 Otis St
Northborough, MA 01532-2459

Phone

(508) 898-2688

Fax

(508) 319-3200

NPI assigned

Apr 11, 2011

Last updated

Apr 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barrett Family Wellness Center Inc

  • Occupational Therapist
  • Northborough, MA
  • NPI 1255416434
  NPD (past)
• Barrett Family Wellness Center Inc.

  • Speech-Language Pathologist
  • Northborough, MA
  • NPI 1881921997
  NPD (past)

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1225328222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 RANTOUL ST",
            "address_2": "UNIT 503",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154259",
            "telephone_number": "617-797-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OTIS ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322459",
            "telephone_number": "508-898-2688",
            "fax_number": "508-319-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJTLICH",
        "first_name": "STEPHANIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barrett Family Wellness Center Inc
• Barrett Family Wellness Center Inc.
• Bartlett Pond Family Medicine, Inc.
• Beaumont Whitney Place Northborough (Beaumont Whitney Place Northborough, LLC)
• Richard C. Bedrosian, PH.D.
• Elizabeth Ann Belmain
• BJ's Wholesale Club Inc.
• Boroughs Healthcare Services LLC
• Rachael Bottone
• Hilare Shaw Bowie, PT

• Speech-Language Pathologist in Northborough, MA
• Providers in Northborough, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.