Individual provider Active NPI

Sara Costello, MA CCC-SLP

  • Speech-Language Pathologist
  • Boston, MA
National Provider Identifier
1770017980
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8819 Issued in MA
Practice address
315 A St
Boston, MA 02210-1644
Phone
(508) 523-2827
NPI assigned
Apr 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 8819 MA Primary

Addresses

Primary practice location

315 A St
Boston, MA 02210-1644

Mailing address

315 A St
Boston, MA 02210-1644
Phone (508) 523-2827

Other practice location 1

299 K St Apt 1
South Boston, MA 02127-8829
Phone (781) 832-0089

Other practice location 2

399 Congress St Apt 731
Boston, MA 02210-2579
Phone (508) 523-2827

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

LicenseStateTypeSpecialty
8819MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
In My Words, Speech and Language Services LLC Speech-Language Pathologist CurrentSince Dec 1, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1770017980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 A ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101644",
            "telephone_number": "508-523-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 A ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101644",
            "telephone_number": "508-523-2827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 K St Apt 1",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "MA",
            "postal_code": "021278829",
            "country_code": "US",
            "telephone_number": "781-832-0089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "399 Congress St Apt 731",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022102579",
            "country_code": "US",
            "telephone_number": "508-523-2827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "SARA",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.