Active NPI
Emma Comiskey, MACCC-SLP
- Speech-Language Pathologist
- Waltham, MA
National Provider Identifier
1871190769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14291330
- Practice address
- 210 Bear Hill Rd Ste 400
Waltham, MA 02451-1025 - Phone
- (781) 790-8479
- Fax
- (781) 281-9181
- NPI assigned
- Oct 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14291330 | MA | Primary |
Addresses
Primary practice location
210 Bear Hill Rd Ste 400
Waltham, MA 02451-1025
Mailing address
210 Bear Hill Rd Ste 400
Waltham, MA 02451-1025
Phone (781) 790-8479
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14291330 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1871190769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 BEAR HILL RD STE 400",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511025",
"telephone_number": "781-790-8479",
"fax_number": "781-281-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 BEAR HILL RD STE 400",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511025",
"telephone_number": "781-790-8479",
"fax_number": "781-281-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMISKEY",
"first_name": "EMMA",
"credential": "MACCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "14291330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.