Active NPI
Christine Robinson, M.S., CCC-SLP
- Speech-Language Pathologist
- Avon, CT
National Provider Identifier
1356522841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 005511
- Practice address
- 30 Avon Meadow LN
Avon, CT 06001 - Phone
- (860) 284-9779
- NPI assigned
- Nov 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1013 | NH | |
| Speech-Language Pathologist | 235Z00000X | 005511 | CT | Primary |
Addresses
Primary practice location
30 Avon Meadow LN
Avon, CT 06001
Mailing address
4 Echo LN
Simsbury, CT 06070-1953
Phone (603) 674-5838
Other practice location 1
282A Main St
Salem, NH 03079-2796
Phone (603) 893-8550
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005511 | CT | MD | Clinical Social Worker |
| 1013 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Development, LLC | Speech-Language Pathologist | 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": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1356522841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ECHO LN",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060701953",
"telephone_number": "603-674-5838",
"fax_number": "603-893-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 AVON MEADOW LN",
"city": "AVON",
"state": "CT",
"postal_code": "06001",
"telephone_number": "860-284-9779"
}
],
"practiceLocations": [
{
"address_1": "282A Main St",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "NH",
"postal_code": "030792796",
"country_code": "US",
"telephone_number": "603-893-8550",
"fax_number": "603-893-8680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "1013",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "005511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.