Julie M Phenix, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4196 Issued in MA

Practice address

49 State Road
Watuppa BLDG Suite 105
North Dartmouth, MA 02747

Phone

(508) 985-1996

Fax

(508) 985-0067

NPI assigned

Feb 20, 2007

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 names 1

• Ms. Julie M Phenix Former name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Speech and Language Therapy Services, Inc.Group PAC ID 3173710779, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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 and Language Therapy Services, Inc.

  • Hearing and Speech Clinic/Center
  • New Bedford, MA
  • NPI 1871823047
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1356486203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 STATE ROAD",
            "address_2": "WATUPPA BLDG SUITE 104-105",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-985-1996",
            "fax_number": "508-985-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 STATE ROAD",
            "address_2": "WATUPPA BLDG SUITE 105",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-985-1996",
            "fax_number": "508-985-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHENIX",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "4196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "PHENIX",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "MS CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark E Perry, M.D.
• Ryan Perry, PMHNP-BC
• Christian A Petrulio, MD
• Sally L Pettus, SALLY PETTUS ED.D
• Pharmahealth Hawthorne Inc
• Matthew Frank Philips, M.D.
• Heather M Pianfetti, AUD
• James Picard
• Kevin Pickering, ATC
• Nathan Pickett, OTR

• Speech-Language Pathologist in North Dartmouth, MA
• Providers in North Dartmouth, 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 Aug 22, 2024; 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.