Active NPI
Jo Cyr-Mutty, M.S. CCC-SLP
- Speech-Language Pathologist
- Deerfield, MA
National Provider Identifier
1780839571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1715-W
- Practice address
- 271 Pine Nook Rd.
Deerfield, MA 01342 - Phone
- (413) 772-9335
- NPI assigned
- Nov 21, 2008
- Last updated
- Nov 21, 2008
- 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 | 1715-W | MA | Primary |
Addresses
Primary practice location
271 Pine Nook Rd.
Deerfield, MA 01342
Mailing address
PO Box 183
Deerfield, MA 01342-0183
Phone (413) 772-9335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01086316 | Other | ASHA | |
| 1715-W | Other | MA | COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE SPEECH-LANGUAGE |
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 |
|---|---|---|---|
| 1715-W | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1780839571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 183",
"city": "DEERFIELD",
"state": "MA",
"postal_code": "013420183",
"telephone_number": "413-772-9335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 PINE NOOK RD.",
"city": "DEERFIELD",
"state": "MA",
"postal_code": "01342",
"telephone_number": "413-772-9335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYR-MUTTY",
"first_name": "JO",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "1715-W",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "01086316",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE SPEECH-LANGUAGE",
"identifier": "1715-W",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deerfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.