Individual provider Active NPI

Alyssa Renee Maccarthy, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Wakefield, MA
National Provider Identifier
1295932267
Registry record updated Mar 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6230 Issued in MA
Practice address
607 North Ave
Wakefield, MA 01880-1307
Phone
(781) 245-4446
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2015

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 6230 MA Primary

Addresses

Primary practice location

607 North Ave
Wakefield, MA 01880-1307

Mailing address

57 Emily LN
Rowley, MA 01969-2235
Phone (781) 229-2085

Other names 1

  • Alyssa Renee Hotte Former name

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
6230MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425168000000",
    "number": "1295932267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 EMILY LN",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019692235",
            "telephone_number": "781-229-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 NORTH AVE",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801307",
            "telephone_number": "781-245-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCARTHY",
        "first_name": "ALYSSA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2015-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "HOTTE",
            "middle_name": "RENEE",
            "credential": "M.S.CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2015; 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.