Active NPI
Alyssa Catherine Gangaware, M.S. CCC-SLP
- Speech-Language Pathologist
- Boston, MA
National Provider Identifier
1861050411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP101726
- Practice address
- 361 Newbury St FL 5
Boston, MA 02115-2727 - Phone
- (617) 302-6244
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- No
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 | SP00445-P | RI | |
| Speech-Language Pathologist | 235Z00000X | SLP101726 | MA | Primary |
Addresses
Primary practice location
361 Newbury St FL 5
Boston, MA 02115-2727
Mailing address
1000 Eddy St
Providence, RI 02905-4739
Phone (401) 533-9100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0614 | Other | RI | NHP RI |
| ES01788 | Medicaid | RI | |
| SB870 | Other | RI | BLUE CROSS RI |
Other names 1
- Alyssa Catherine Reilly
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP101726 | MA | MD | Speech-Language Pathologist |
| SP00445-P | RI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1861050411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054739",
"telephone_number": "401-533-9100",
"fax_number": "401-533-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 NEWBURY ST FL 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021152727",
"telephone_number": "617-302-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGAWARE",
"first_name": "ALYSSA",
"middle_name": "CATHERINE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP00445-P",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "SLP101726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP RI",
"identifier": "0614",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ES01788",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS RI",
"identifier": "SB870",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "REILLY",
"middle_name": "CATHERINE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.