Individual provider Active NPI

Tiffany Barry, M.S., CCC-SLP, BCBA

  • Speech-Language Pathologist
  • Milford, MA
National Provider Identifier
1518217611
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8492 Issued in MA
Practice address
321 Fortune Blvd Ste 9
Milford, MA 01757
Phone
(774) 804-1017
NPI assigned
Sep 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8492 MA Primary

Addresses

Primary practice location

321 Fortune Blvd Ste 9
Milford, MA 01757

Mailing address

321 Fortune Blvd Ste 9
Milford, MA 01757-1750
Phone (774) 804-1017

Other practice location 1

19 Constitution St
Ashland, MA 01721-1082
Phone (413) 885-4305

Other practice location 2

717 Washington St Unit C
Canton, MA 02021-3041
Phone (413) 885-4305

Other practice location 3

19 Constitution St
Ashland, MA 01721-1082
Phone (413) 885-4305

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

LicenseStateTypeSpecialty
8492MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1347753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518217611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 FORTUNE BLVD STE 9",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571750",
            "telephone_number": "774-804-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 FORTUNE BLVD STE 9",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "01757",
            "telephone_number": "774-804-1017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Constitution St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "MA",
            "postal_code": "017211082",
            "country_code": "US",
            "telephone_number": "413-885-4305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Washington St Unit C",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MA",
            "postal_code": "020213041",
            "country_code": "US",
            "telephone_number": "413-885-4305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Constitution St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "MA",
            "postal_code": "017211082",
            "country_code": "US",
            "telephone_number": "413-885-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRY",
        "first_name": "TIFFANY",
        "credential": "M.S., CCC-SLP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.