Individual provider Active NPI

Stacy Parisi, MS CCC-SLP

  • Speech-Language Pathologist
  • Danvers, MA
National Provider Identifier
1265680680
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6075 Issued in MA
Practice address
10 Elm St
Danvers Atrium Lower Level
Danvers, MA 01923-2824
Phone
(978) 777-1122
Fax
(978) 777-2007
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6075 MA Primary

Addresses

Primary practice location

10 Elm St
Danvers Atrium Lower Level
Danvers, MA 01923-2824

Mailing address

10 Elm St
Danvers Atrium Lower Level
Danvers, MA 01923-2824
Phone (978) 777-1122

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

LicenseStateTypeSpecialty
6075MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids OT to Play, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1265680680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ELM ST",
            "address_2": "DANVERS ATRIUM LOWER LEVEL",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232824",
            "telephone_number": "978-777-1122",
            "fax_number": "978-777-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ELM ST",
            "address_2": "DANVERS ATRIUM LOWER LEVEL",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232824",
            "telephone_number": "978-777-1122",
            "fax_number": "978-777-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISI",
        "first_name": "STACY",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.