Individual provider Active NPI

Amanda Grace Bassett I

  • Speech-Language Assistant
  • Rochester, MA
National Provider Identifier
1831853308
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SPA100478 Issued in MA
Practice address
31 Hiller Rd
Rochester, MA 02770-4024
Phone
(774) 454-1994
Fax
(508) 273-2353
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
No

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.

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

State licenses

LicenseStateTypeSpecialty
SPA100478MAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway ABA Therapy LLC CurrentSince Oct 31, 2021 Accepting new patients

Locations

53 Marion Rd
Unit 2
Wareham, MA 02571
Phone (774) 454-1994

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Speech-Language Assistant 2355S0801X SPA100478 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

31 Hiller Rd
Rochester, MA 02770-4024

Mailing address

53 Marion Rd Unit 2
Wareham, MA 02571-1406
Phone (774) 454-1994

Other practice location 1

53 Marion Rd Unit 2
Wareham, MA 02571-1406
Phone (774) 454-1994

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2025.

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1831853308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MARION RD UNIT 2",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711406",
            "telephone_number": "774-454-1994",
            "fax_number": "508-273-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HILLER RD",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027704024",
            "telephone_number": "774-454-1994",
            "fax_number": "508-273-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Marion Rd Unit 2",
            "address_purpose": "LOCATION",
            "city": "Wareham",
            "state": "MA",
            "postal_code": "025711406",
            "country_code": "US",
            "telephone_number": "774-454-1994",
            "fax_number": "508-273-2353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "MA",
            "license": "SPA100478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.