Individual provider Active NPI

Denelee Faith Thomas, MS CCC-SLP BCBA

  • Speech-Language Pathologist
  • Holden, MA
National Provider Identifier
1861045536
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7967 Issued in MA
Practice address
222 River St
Holden, MA 01520-2305
Phone
(508) 615-6298
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2137 MA
Speech-Language Pathologist 235Z00000X 7967 MA Primary

Addresses

Primary practice location

222 River St
Holden, MA 01520-2305

Mailing address

222 River St
Holden, MA 01520-2305
Phone (508) 615-6298

Other names 1

  • Denelee Faith Lagasse Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7967MAMDClinical Child & Adolescent Psychologist
2137MAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1861045536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 RIVER ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015202305",
            "telephone_number": "508-615-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 RIVER ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015202305",
            "telephone_number": "508-615-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DENELEE",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2137",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENELEE",
            "last_name": "LAGASSE",
            "middle_name": "FAITH",
            "credential": "MS CCC-SLP BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.