Joshua Wise Tenenbaum, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

031628-01 Issued in NY

Practice address

40 Granite St
Cambridge, MA 02139-4710

Phone

(617) 349-6575

NPI assigned

Mar 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1548919962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 HIGHLAND AVE APT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021443177",
            "telephone_number": "617-852-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GRANITE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394710",
            "telephone_number": "617-349-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENENBAUM",
        "first_name": "JOSHUA",
        "middle_name": "WISE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "78082-SP-SL",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031628-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtenenbaum@cpsd.us",
            "affiliation": "N",
            "address_1": "40 Granite St",
            "city": "Cambridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021394710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Marie Tejeda, LPN
• Flavia R. Teles, DDS
• Amanda Telesca, PT, DPT
• Cynthia J Telingator, M.D.
• William Telingator
• Helen Tengkawan
• Darius Rene Ilano Tenorio, DDS
• Jessica Tepper
• Vincenzo Giancarlo Teran, M.A.
• Lello Tesema, M.D.

• Speech-Language Pathologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.