Active NPI
Deborah Tomarakos, M.A. CCC/SLP
- Speech-Language Pathologist
- Medway, MA
National Provider Identifier
1356628820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4301
- Practice address
- 9 Freedom TRL
Medway, MA 02053-6160 - Phone
- (508) 533-7293
- NPI assigned
- Nov 10, 2011
- 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 | 4301 | MA | Primary |
Addresses
Primary practice location
9 Freedom TRL
Medway, MA 02053-6160
Mailing address
9 Freedom TRL
Medway, MA 02053-6160
Phone (508) 533-7293
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1356628820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 FREEDOM TRL",
"city": "MEDWAY",
"state": "MA",
"postal_code": "020536160",
"telephone_number": "508-533-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 FREEDOM TRL",
"city": "MEDWAY",
"state": "MA",
"postal_code": "020536160",
"telephone_number": "508-533-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMARAKOS",
"first_name": "DEBORAH",
"name_prefix": "Mrs.",
"credential": "M.A. CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-10",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "4301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medway, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.