Individual provider Active NPI

Liduina (Lydia) C Scholten, MA, MHSC., CCC-SLP

  • Speech-Language Pathologist
  • Acton, MA
National Provider Identifier
1871781054
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5796 Issued in MA
Practice address
14 Notre Dame Rd
Acton, MA 01720
Phone
(978) 264-0750
NPI assigned
Oct 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5796 MA Primary

Addresses

Primary practice location

14 Notre Dame Rd
Acton, MA 01720

Mailing address

14 Notre Dame Rd
Acton, MA 01720-2109
Phone (978) 844-3462

Other practice location 1

454 River Rd
Buxton, ME 04093-3915
Phone (978) 844-3462

Other names 1

  • Lydia Scholten Other 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 Arts

State licenses

LicenseStateTypeSpecialty
5796MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1871781054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 NOTRE DAME RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202109",
            "telephone_number": "978-844-3462",
            "fax_number": "978-264-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 NOTRE DAME RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "01720",
            "telephone_number": "978-264-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "454 River Rd",
            "address_purpose": "LOCATION",
            "city": "Buxton",
            "state": "ME",
            "postal_code": "040933915",
            "country_code": "US",
            "telephone_number": "978-844-3462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOLTEN",
        "first_name": "LIDUINA (LYDIA)",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MA, MHSC., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "SCHOLTEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.