Nicole Matysiak-Phillips, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP100927 Issued in MA

Practice address

55 Bobala Rd
Holyoke, MA 01040-9688

Phone

(800) 679-3609

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism Care Partners PLLC

  • Speech-Language Pathologist
  • Fall River, MA
  • NPI 1609550136
  NPD (past)
• Applied Behavioral Interventions, Psychology, PT, OT, SLP, LMSW, PLLC.

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1346589215

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1689240178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BOBALA RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409688",
            "telephone_number": "413-433-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BOBALA RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409688",
            "telephone_number": "800-679-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATYSIAK-PHILLIPS",
        "first_name": "NICOLE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "6567",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP100927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karelys Beatriz Mateo Spohn
• Hermes Gadiel Matos Morales
• Amie Marie Matos, FNP-BC
• Erika Matos
• Carrie Matusko, RN
• Teresa Suzanne Mawdsley, OTR/L
• Martine Maxwell
• Ashley May, PA-C
• Charles William May
• Jamie Mazur

• Speech-Language Pathologist in Holyoke, MA
• Providers in Holyoke, 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 Apr 16, 2025; 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.