Active NPI
CCC Speech & Language Partners P LLC
- Speech-Language Pathologist
- Fall River, MA
National Provider Identifier
1841975109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CCC SPEECH & LANGUAGE PARTNERS P LLC
- Practice address
- 55 N Main St Ste 102
Fall River, MA 02720-2121 - Phone
- (508) 536-5599
- Fax
- (508) 596-5534
- NPI assigned
- Jun 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristin L Andrade, MA CCC-SLP
- Title
- Manager/Therapist
- Phone
- (508) 536-5599
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
55 N Main St Ste 102
Fall River, MA 02720-2121
Mailing address
17 Plaza Way # 1018
Fairhaven, MA 02719-4601
Phone (508) 536-5599
National Provider Directory
National Provider DirectoryLocations
55 N Main St
Ste 102
Fall River, MA 02720
Phone (508) 536-5599
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Fall River, MA
- NPI 1225453228
-
- Speech-Language Pathologist
- Fall River, MA
- NPI 1821434143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688083200000",
"number": "1841975109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 PLAZA WAY # 1018",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027194601",
"telephone_number": "508-536-5599",
"fax_number": "508-536-5534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 N MAIN ST STE 102",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027202121",
"telephone_number": "508-536-5599",
"fax_number": "508-596-5534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCC SPEECH & LANGUAGE PARTNERS P LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A",
"authorized_official_last_name": "ANDRADE",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER/THERAPIST",
"authorized_official_telephone_number": "508-536-5599",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.