Kirsten Peltz, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7755 Issued in MA

Practice address

15 Green St
Wingate at Melrose
Melrose, MA 02176-2811

Phone

(781) 664-3950

NPI assigned

Jun 14, 2010

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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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

• Speech-Language and Hearing Associates of Greater Boston, PC

  • Audiologist
  • Medfield, MA
  • NPI 1093974073

  Speech-Language Pathologist

  NPD (past)
• Speech-Language and Hearing Associates of Greater Boston, PC

  • Speech-Language Pathologist
  • Medfield, MA
  • NPI 1942270574
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1255652244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N MEADOWS RD",
            "address_2": "SPEECH-LANGUAGE & HEARING ASSOCIATES",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522317",
            "telephone_number": "508-359-4532",
            "fax_number": "508-359-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GREEN ST",
            "address_2": "WINGATE AT MELROSE",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762811",
            "telephone_number": "781-664-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZ",
        "first_name": "KIRSTEN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE A-ORF",
            "identifier": "226538",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "SL-M21875",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "620733",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "626557",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "SG0013",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ellen Parker, RN
• Dylan Michael Parks, DC
• Monika L Parrish, PA-C
• Shilpa Mitesh Patel
• Janet Anne Pelletier, PHARMACIST
• Jolie Maxx Pepperman, PSYD
• Gabrielle Perea, PT, DPT
• Donna M. Perham, L.M.T.
• Sasa Periskic, M.D.
• Kristen Perrelli, LCSW

• Speech-Language Pathologist in Melrose, MA
• Providers in Melrose, 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 May 31, 2016; 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.