Active NPI
Robin A. Mirante, M.S. CCC/SLP
- Speech-Language Pathologist
- Boston, MA
National Provider Identifier
1326230863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4193
- Practice address
- 275 Cambridge St
Professional Office BLDG. 3Rd Floor
Boston, MA 02114-3108 - Phone
- (617) 724-0765
- Fax
- (617) 724-0771
- NPI assigned
- Aug 17, 2007
- 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 | 4193 | MA | Primary |
Addresses
Primary practice location
275 Cambridge St
Professional Office BLDG. 3Rd Floor
Boston, MA 02114-3108
Mailing address
241 Rhode Island Blvd
Portsmouth, RI 02871-5712
Phone (401) 480-2618
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4193 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carelink, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Fox Rehab of Ri PC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
400 Massasoit Ave
Ste 113
East Providence, RI 02914
Phone (401) 490-4610
400 Massasoit Ave
Ste 300B
East Providence, RI 02914
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": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1326230863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 RHODE ISLAND BLVD",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028715712",
"telephone_number": "401-480-2618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 CAMBRIDGE ST",
"address_2": "PROFESSIONAL OFFICE BLDG. 3RD FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143108",
"telephone_number": "617-724-0765",
"fax_number": "617-724-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANTE",
"first_name": "ROBIN",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "M.S. CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "4193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.