Individual provider Active NPI

Rachael Lauren Levy, CCC-SLP

  • Speech-Language Pathologist
  • Walpole, MA
National Provider Identifier
1831538461
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-8906-SL Issued in MA
Practice address
869 Main St Ste 4a
Walpole, MA 02081-2985
Phone
(508) 734-3369
Fax
(949) 798-7216
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X 8906 MA
Speech-Language Pathologist 235Z00000X SP-8906-SL MA Primary

Addresses

Primary practice location

869 Main St Ste 4a
Walpole, MA 02081-2985

Mailing address

869 Main St Ste 4a
Walpole, MA 02081-2985
Phone (508) 734-3369

Other practice location 1

11 Teal Cir
Walpole, MA 02081-4324
Phone (508) 320-2676

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlevy@myspeechlanguagetherapy.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8906MAMDClinical Neuropsychologist
SP-8906-SLMAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1831538461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 MAIN ST STE 4A",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812985",
            "telephone_number": "508-734-3369",
            "fax_number": "949-798-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 MAIN ST STE 4A",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812985",
            "telephone_number": "508-734-3369",
            "fax_number": "949-798-7216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Teal Cir",
            "address_purpose": "LOCATION",
            "city": "Walpole",
            "state": "MA",
            "postal_code": "020814324",
            "country_code": "US",
            "telephone_number": "508-320-2676",
            "fax_number": "857-453-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "RACHAEL",
        "middle_name": "LAUREN",
        "name_prefix": "Miss",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "MA",
            "license": "8906",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SP-8906-SL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlevy@myspeechlanguagetherapy.com",
            "affiliation": "N",
            "address_1": "869 Main St Ste 4A",
            "city": "Walpole",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020812985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.