Individual provider Active NPI

Alissa Ryan, MS, CCC-SLP

  • Speech-Language Pathologist
  • Leominster, MA
National Provider Identifier
1699065250
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7808 Issued in MA
Practice address
285 Central St Ste 217B
Leominster, MA 01453-6144
Phone
(978) 212-9616
Fax
(978) 849-8393
NPI assigned
Apr 15, 2011
Last updated
Oct 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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 7808 MA Primary

Addresses

Primary practice location

285 Central St Ste 217B
Leominster, MA 01453-6144

Mailing address

285 Central St Ste 217B
Leominster, MA 01453-6144
Phone (978) 212-9616

Other names 1

  • Alissa Cringan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221001275 MA Practitioner - Qualified Speech Language Pathologist 3274945092

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

285 Central St
Suite 217B
Leominster, MA 01453-6183
Phone (978) 212-9616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7808MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Speech Therapy, LLC Speech-Language Pathologist CurrentSince Sep 8, 2020 Accepting new patients

Locations

285 Central St
Ste 202B
Leominster, MA 01453

285 Central St
Ste 217B
Leominster, MA 01453
Phone (978) 212-9616

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": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1699065250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 CENTRAL ST STE 217B",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014536144",
            "telephone_number": "978-212-9616",
            "fax_number": "978-849-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 CENTRAL ST STE 217B",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014536144",
            "telephone_number": "978-212-9616",
            "fax_number": "978-849-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ALISSA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "CRINGAN",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.