Active NPI
Kai Long, M.S. SLP CCC
- Speech-Language Pathologist
- Cambridge, MA
National Provider Identifier
1730315110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4288
- Practice address
- 290 River St Unit 3
Cambridge, MA 02139-4428 - Phone
- (617) 547-1438
- NPI assigned
- May 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4288 | MA | Primary |
Addresses
Primary practice location
290 River St Unit 3
Cambridge, MA 02139-4428
Mailing address
290 River St Unit 3
Cambridge, MA 02139-4428
Phone (617) 547-1438
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243641600000",
"number": "1730315110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 RIVER ST UNIT 3",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021394428",
"telephone_number": "617-547-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 RIVER ST UNIT 3",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021394428",
"telephone_number": "617-547-1438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "KAI",
"credential": "M.S. SLP CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-30",
"last_updated": "2009-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "4288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.