Minal Arjun Kadam, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9915 Issued in MA

Practice address

311 Service Rd
East Sandwich, MA 02537-1370

Phone

(508) 833-4131

NPI assigned

Jun 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brain Life Connection LLC

  • Speech-Language Pathologist
  • Bordentown, NJ
  • NPI 1366125254
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1861912594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WAREHAM RD APT 2207",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603666",
            "telephone_number": "631-418-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SERVICE RD",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371370",
            "telephone_number": "508-833-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Wareham Rd Apt 2207",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023603666",
            "country_code": "US",
            "telephone_number": "631-418-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADAM",
        "first_name": "MINAL",
        "middle_name": "ARJUN",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "9915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Johnson
• Alison Jones
• Kenneth Paul Joyce, P.T.
• Paula Joyce, PT
• Andrew L Judelson, MD
• Patricia Kelley, RN
• Bryan Robert Kelly, PH.D.
• Kayla Kinder
• Alyssa Joy Kurker
• Rosanne Foley Lanciano, M.S., CCC/SLP

• Speech-Language Pathologist in East Sandwich, MA
• Providers in East Sandwich, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.