Active NPI
Robin Dawn Holcomb, MA CCC SLP
- Speech-Language Pathologist
- Brockton, MA
National Provider Identifier
1760547780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6630
- Practice address
- South Bay Early Intervention
1115 West Chestnut St
Brockton, MA 02301 - Phone
- (508) 559-0473
- Fax
- (508) 427-5361
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 6630 | MA | Primary |
| Speech-Language Pathologist | 235Z00000X | 12022158 |
Addresses
Primary practice location
South Bay Early Intervention
1115 West Chestnut St
Brockton, MA 02301
Mailing address
5 Esther Avenue
North Attleboro, MA 02760
Phone (508) 386-5240
Other names 1
- Miss Robin Dawn Belanger
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6630 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760547780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ESTHER AVENUE",
"city": "NORTH ATTLEBORO",
"state": "MA",
"postal_code": "02760",
"telephone_number": "508-386-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH BAY EARLY INTERVENTION",
"address_2": "1115 WEST CHESTNUT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "508-559-0473",
"fax_number": "508-427-5361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "ROBIN",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "MA CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "6630",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "12022158",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "BELANGER",
"middle_name": "DAWN",
"prefix": "MISS",
"credential": "MA CCC SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brockton, 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.