Organization Active NPI

CCC Speech & Language Partners P LLC

  • Speech-Language Pathologist
  • Fall River, MA
National Provider Identifier
1841975109
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Jun 30, 2023

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-SLPNPI 1225453228
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.