Active NPI
Rachael Lauren Levy, CCC-SLP
- Speech-Language Pathologist
- Walpole, MA
National Provider Identifier
1831538461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-8906-SL
- 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
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8906 | MA | MD | Clinical Neuropsychologist |
| SP-8906-SL | MA | MD | Speech-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.