Active NPI
Megan Dwyer, MS CCC-SLP
- Speech-Language Pathologist
- Newton, MA
National Provider Identifier
1235895483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 78100
- Practice address
- 109 Oak St Ste G10
Newton, MA 02464-1492 - Phone
- (617) 658-5600
- Fax
- (617) 527-0640
- NPI assigned
- Nov 11, 2021
- 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 | 78100 | MA | Primary |
Addresses
Primary practice location
109 Oak St Ste G10
Newton, MA 02464-1492
Mailing address
925 E 2ND St Apt 2
Boston, MA 02127-2377
Phone (203) 889-8505
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 |
|---|---|---|---|
| 78100 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1235895483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 E 2ND ST APT 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021272377",
"telephone_number": "203-889-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 OAK ST STE G10",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641492",
"telephone_number": "617-658-5600",
"fax_number": "617-527-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "MEGAN",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "78100",
"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 Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.