NPIMap

Organization Active NPI

Emerson College

  • Speech-Language Pathologist
  • Boston, MA
National Provider Identifier
1487850459
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EMERSON COLLEGE
Practice address
216 Tremont Street
7TH Floor
Boston, MA 02116
Phone
(617) 824-8323
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Betsy Micucci, M.S.NPI 1962438820
Title
Director of Clinical Programs
Phone
(617) 824-8313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X MA Primary

Addresses

Primary practice location

216 Tremont Street
7TH Floor
Boston, MA 02116

Mailing address

120 Boylston St
Boston, MA 02116-4611
Phone (617) 824-8323

Other names 1

  • Robbins Speech, Language and Hearing Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2095561Emerson College, Center for Heatlh & Wellness216 Tremont St RM 303, Boston, MA 02116Provider-performed microscopyMay 6, 2027

National Provider Directory

National Provider Directory

Locations

120 Boylston St
Boston, MA 02116
Phone (617) 824-8666

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1487850459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164611",
            "telephone_number": "617-824-8323",
            "fax_number": "617-824-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 TREMONT STREET",
            "address_2": "7TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-824-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "MICUCCI",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL PROGRAMS",
        "authorized_official_telephone_number": "617-824-8313",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robbins Speech, Language and Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.