Active NPI
Eileen Marie Farahm, M.ED.,CCC-SLP
- Speech-Language Pathologist
- Medford, MA
National Provider Identifier
1629261037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2296
- Practice address
- 50 Hicks Ave
#20
Medford, MA 02155-6680 - Phone
- (781) 395-6147
- NPI assigned
- Aug 20, 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 | 2296 | MA | Primary |
Addresses
Primary practice location
50 Hicks Ave
#20
Medford, MA 02155-6680
Mailing address
50 Hicks Ave
#20
Medford, MA 02155-6680
Phone (781) 395-6147
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2296 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1629261037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 HICKS AVE",
"address_2": "#20",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556680",
"telephone_number": "781-395-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HICKS AVE",
"address_2": "#20",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556680",
"telephone_number": "781-395-6147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAHM",
"first_name": "EILEEN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.ED.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "2296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.