Lina Skiba, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

77125-SP-SL Issued in MA

Practice address

Thom Child & Family Services
555 Armory St
Jamaica Plain, MA 02130

Phone

(617) 383-6522

NPI assigned

Jan 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1689139917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 EUSTON RD",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021354805",
            "telephone_number": "718-610-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THOM CHILD & FAMILY SERVICES",
            "address_2": "555 ARMORY ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-383-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBA",
        "first_name": "LINA",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77125-SP-SL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS STATE LICENSURE OF SPEECH & LANGUAGE",
            "identifier": "77125-SP-SL",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14181776",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan James Sirois, LICSW
• Marc Douglas Sirrico, MSPT
• Dan J Siskind, MD BS MPH
• Barbara Sisson, MD
• Maile Sit
• Sleep Health Centers LLC
• Travis Michael Slesinski, PSYD
• Scott Vincent Smalley, PA-C
• Allen L Smith, MD MS
• Benjamin N Smith, M.D.

• Speech-Language Pathologist in Jamaica Plain, MA
• Providers in Jamaica Plain, 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 Jan 31, 2019; 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.