NPIMap

Organization Active NPI

Pediatric Speech Language Services

  • Speech-Language Pathologist
  • Newton, MA
National Provider Identifier
1235357153
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
451-SL Issued in MA
Legal business name
PEDIATRIC SPEECH LANGUAGE SERVICES
Practice address
65 Athelstane Rd
Newton, MA 02459-2422
Phone
(617) 969-0121
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wendy H. Fitzmartin, M.S. CCCNPI 1043376916
Title
Speech Pathologist
Phone
(617) 969-0121

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 451-SL MA Primary

Addresses

Primary practice location

65 Athelstane Rd
Newton, MA 02459-2422

Mailing address

65 Athelstane Road
Newton, MA 02459-2422
Phone (617) 969-0121

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235357153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ATHELSTANE ROAD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592422",
            "telephone_number": "617-969-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ATHELSTANE RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592422",
            "telephone_number": "617-969-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZMARTIN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "617-969-0121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "451-SL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.