Individual provider Active NPI

Patricia Celina Belliveau, MA-CCC-SLP

  • Speech-Language Pathologist
  • Shrewsbury, MA
National Provider Identifier
1720294135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 121 Issued in MA
Practice address
214 Lake St
Child Development Center
Shrewsbury, MA 01545-3960
Phone
(508) 856-4202
Fax
(508) 845-2783
NPI assigned
May 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 SP 121 MA Primary

Addresses

Primary practice location

214 Lake St
Child Development Center
Shrewsbury, MA 01545-3960

Mailing address

403 Oak St
Shrewsbury, MA 01545-4337
Phone (508) 799-2260

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

State licenses

LicenseStateTypeSpecialty
SP 121MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720294135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 OAK ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454337",
            "telephone_number": "508-799-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LAKE ST",
            "address_2": "CHILD DEVELOPMENT CENTER",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453960",
            "telephone_number": "508-856-4202",
            "fax_number": "508-845-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIVEAU",
        "first_name": "PATRICIA",
        "middle_name": "CELINA",
        "credential": "MA-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SP 121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.