Active NPI
Lauren J Mamon, M.S. CCC-SP.
- Speech-Language Pathologist
- Newton, MA
National Provider Identifier
1568516482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2602
- Practice address
- 183 Old Farm Rd
Newton, MA 02459-3437 - Phone
- (617) 965-5384
- Fax
- (617) 965-7733
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2602 | MA | Primary |
Addresses
Primary practice location
183 Old Farm Rd
Newton, MA 02459-3437
Mailing address
183 Old Farm Rd
Newton, MA 02459-3437
Phone (617) 965-5384
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2602 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568516482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 OLD FARM RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024593437",
"telephone_number": "617-965-5384",
"fax_number": "617-965-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 OLD FARM RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024593437",
"telephone_number": "617-965-5384",
"fax_number": "617-965-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMON",
"first_name": "LAUREN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SP.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "2602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.