Active NPI
Jamie A Chin
- Speech-Language Pathologist
- Greenville, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP00532-P
- Practice address
- 735 Putnam Pike
Greenville, RI 02828-1435 - Phone
- (401) 949-1200
- NPI assigned
- Jul 19, 2021
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | SP00532-P | RI | Primary |
Addresses
Primary practice location
735 Putnam Pike
Greenville, RI 02828-1435
Mailing address
34 Brighton St Apt 2
Providence, RI 02909-1459
Phone (708) 646-6763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 E 14 St
Brooklkyn, NY 11230-4803
Phone (718) 434-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032665 | NY | MD | General Practice Dentistry |
| SP00532-P | RI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hasc Diagnostic &Treatment Center, Inc | Single Specialty | Current | Accepting new patients |
| Hasc Diagnostic & Treatment Center, Inc | Current | Accepting new patients |
Locations
5601 1st Ave
Brooklyn, NY 11220
Phone (718) 650-0110
1221 E 14th St
Brooklyn, NY 11230
Phone (718) 434-4600
Organizations & group practices 2
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.
-
dba Blanche Kahn Family Health Center
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1902872591
Single Specialty
-
dba Rambam Family Health Center
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1790678647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1851964886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 BRIGHTON ST APT 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029091459",
"telephone_number": "708-646-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 PUTNAM PIKE",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028281435",
"telephone_number": "401-949-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "JAMIE",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP00532-P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.