Active NPI
South East Center for Swallowing and Communication Disorders, PC
- Occupational Therapist
- New Bedford, MA
National Provider Identifier
1639366867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- SOUTH EAST CENTER FOR SWALLOWING AND COMMUNICATION DISORDERS, PC
- Practice address
- 92 Grape St
Unit 1
New Bedford, MA 02740-2143 - Phone
- (508) 991-2332
- Fax
- (508) 991-8437
- NPI assigned
- Oct 2, 2007
- Last updated
- Jun 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathleen L Fitzgerald, MS CCC-SLP
- Title
- President
- Phone
- (508) 991-2332
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
92 Grape St
Unit 1
New Bedford, MA 02740-2143
Mailing address
92 Grape St
Unit 1
New Bedford, MA 02740-2143
Phone (508) 991-2332
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9737570 | Medicaid | MA | |
| AA14788 | Other | MA | HARVARD PILGRIM HEALTHCARE |
| 691582 | Other | MA | TUFTS HEALTHCARE |
| 0G0068 | Other | MA | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS |
National Provider Directory
National Provider Directory- Tax ID family
- South East Center for Swallowing and Communication Disorders PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- New Bedford, MA
- NPI 1114176385
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Speech-Language Pathologist
- New Bedford, MA
- NPI 1871713297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1639366867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 GRAPE ST",
"address_2": "UNIT 1",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027402143",
"telephone_number": "508-991-2332",
"fax_number": "508-991-8437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 GRAPE ST",
"address_2": "UNIT 1",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027402143",
"telephone_number": "508-991-2332",
"fax_number": "508-991-8437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH EAST CENTER FOR SWALLOWING AND COMMUNICATION DISORDERS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "FITZGERALD",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-991-2332",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS CCC-SLP"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9737570",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCARE",
"identifier": "AA14788",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTHCARE",
"identifier": "691582",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS",
"identifier": "0G0068",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
- Thais Goese Sousa, CNP
- South Coast Angels LLC
- South East Center for OT Inc
- South East Center for Swallowing & Communication
- South East Center for Swallowing and Communication Disorders, PC
- Southcoast Cardiology LLC
- Southcoast Chiropractic, Inc.
- Southcoast Dental Specialistst
- Southcoast Endodotics, P.C.
- Southcoast Hair Options
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.