Active NPI
Sarah A Mistretta, M.S., CCC-SLP
- Speech-Language Pathologist
- Concord, MA
National Provider Identifier
1740771807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 77042
- Practice address
- 133 Old Road to 9 Acre Cor
Concord, MA 01742-4159 - Phone
- (978) 369-1400
- NPI assigned
- May 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 113669 | TX | |
| Speech-Language Pathologist | 235Z00000X | 77042 | MA | Primary |
Addresses
Primary practice location
133 Old Road to 9 Acre Cor
Concord, MA 01742-4159
Mailing address
133 Old Road to 9 Acre Cor
Concord, MA 01742-4159
Other practice location 1
109 S Festival Dr
El Paso, TX 79912-5801
Phone (915) 842-1788
Other practice location 2
2 Coolidge St
Hudson, MA 01749-1321
Phone (978) 568-8800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 77042 | MA | MD | Speech-Language Pathologist |
| 113669 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Childrens Therapies | Past | Accepting new patients | |
| Integrated Children'S Therapies, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| RGTG, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Hudson, MA
- NPI 1245472554
-
- Multi-Specialty Clinic/Center
- Hudson, MA
- NPI 1518127331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585440000000",
"number": "1740771807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 OLD ROAD TO 9 ACRE COR",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 OLD ROAD TO 9 ACRE COR",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424159",
"telephone_number": "978-369-1400"
}
],
"practiceLocations": [
{
"address_1": "109 S Festival Dr",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799125801",
"country_code": "US",
"telephone_number": "915-842-1788",
"fax_number": "915-842-1778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Coolidge St",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "MA",
"postal_code": "017491321",
"country_code": "US",
"telephone_number": "978-568-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISTRETTA",
"first_name": "SARAH",
"middle_name": "A",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-24",
"last_updated": "2020-03-29",
"certification_date": "2020-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "113669",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "77042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.