Individual provider Active NPI

Michael Starr, CCC-SLP

  • Speech-Language Pathologist
  • Amherst, MA
National Provider Identifier
1316567985
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
76582 Issued in MA
Practice address
358 N Pleasant St RM 220
Amherst, MA 01003-9296
Phone
(413) 577-4203
NPI assigned
Apr 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 76582 MA Primary

Addresses

Primary practice location

358 N Pleasant St RM 220
Amherst, MA 01003-9296

Mailing address

358 N Pleasant St RM 220
Amherst, MA 01003-9296
Phone (413) 577-4203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915002058 MA Practitioner - Qualified Speech Language Pathologist 5991123457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
University of MassachusettsGroup PAC ID 6507843760, 6 clinicians

Practice addresses (Care Compare)

358 N Pleasant St
Amherst, MA 01003-9296
Phone (413) 545-2565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76582MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Massachusetts Speech-Language Pathologist CurrentSince May 5, 2020 Accepting new patients
University of Massachusetts Speech-Language Pathologist PastSince May 5, 2020 Accepting new patients

Locations

150 Infirmary Way
Amherst, MA 01003
Phone (413) 577-5000

358 N Pleasant St
Amherst, MA 01003
Phone (413) 545-2565

358 N Pleasant St
Rm 220
Amherst, MA 01003
Phone (413) 577-4203

Organizations & group practices 2

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1316567985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 N PLEASANT ST RM 220",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039296",
            "telephone_number": "413-577-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N PLEASANT ST RM 220",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039296",
            "telephone_number": "413-577-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "MICHAEL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "76582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.