Individual provider Active NPI

Amy Litwack, MS CCC SLP

  • Speech-Language Pathologist
  • Boston, MA
National Provider Identifier
1689869034
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4488 Issued in MA
Practice address
120 Boylston St
CSD, Emerson College
Boston, MA 02116-4611
Phone
(617) 824-8440
Fax
(617) 824-8735
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4488 MA Primary

Addresses

Primary practice location

120 Boylston St
CSD, Emerson College
Boston, MA 02116-4611

Mailing address

31 Erica Dr
Stoughton, MA 02072-3449
Phone (617) 824-8440

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

LicenseStateTypeSpecialty
4488MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson College Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1689869034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ERICA DR",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723449",
            "telephone_number": "617-824-8440",
            "fax_number": "617-824-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BOYLSTON ST",
            "address_2": "CSD, EMERSON COLLEGE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164611",
            "telephone_number": "617-824-8440",
            "fax_number": "617-824-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITWACK",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "4488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.