NPIMap

Organization Active NPI

Northeastern University

  • Speech-Language Pathologist
  • Boston, MA
National Provider Identifier
1518255462
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4AKD Issued in MA
Legal business name
NORTHEASTERN UNIVERSITY
Practice address
30 Leon St
503 Beharkis Health Sciences Center
Boston, MA 02115-5009
Phone
(617) 373-2492
Fax
(617) 373-8756
NPI assigned
Jul 13, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHEASTERN UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Mr. Samuel B. Solomon
Title
Director of Finance and Treasurer
Phone
(617) 373-2597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4AKD MA Primary

Addresses

Primary practice location

30 Leon St
503 Beharkis Health Sciences Center
Boston, MA 02115-5009

Mailing address

30 Leon St
503 Beharkis Health Sciences Center
Boston, MA 02115-5009
Phone (617) 373-2492

Other names 1

  • Speech-Language and Hearing Center Other name

National Provider Directory

National Provider Directory
Tax ID family
N E Univ Health Service3 organizations share this tax ID, including this one
Part of
N E Univ Health Service

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1518255462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LEON ST",
            "address_2": "503 BEHARKIS HEALTH SCIENCES CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155009",
            "telephone_number": "617-373-2492",
            "fax_number": "617-373-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LEON ST",
            "address_2": "503 BEHARKIS HEALTH SCIENCES CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155009",
            "telephone_number": "617-373-2492",
            "fax_number": "617-373-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEASTERN UNIVERSITY",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE AND TREASURER",
        "authorized_official_telephone_number": "617-373-2597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "4AKD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech-Language and Hearing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 13, 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.

Verify at the official NPI Registry.