Organization Active NPI

Speech and Language Therapy Services, Inc.

  • Hearing and Speech Clinic/Center
  • New Bedford, MA
National Provider Identifier
1871823047
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
4196 Issued in MA
Legal business name
SPEECH AND LANGUAGE THERAPY SERVICES, INC.
Practice address
1167 Ashley Blvd
New Bedford, MA 02745-2419
Phone
(508) 985-1996
Fax
(508) 985-0067
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Mr. Fernando Jorge Barcelos
Title
President
Phone
(508) 985-1996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 4196 MA Primary

Addresses

Primary practice location

1167 Ashley Blvd
New Bedford, MA 02745-2419

Mailing address

1167 Ashley Blvd
New Bedford, MA 02745-2419
Phone (508) 985-1996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101208000969 MA Part B Supplier - Clinic/Group Practice 3173710779 Receives reassigned benefits from 3 practitioners
Practice locations: North Dartmouth, MA

National Provider Directory

National Provider Directory

Locations

1167 Ashley Blvd
New Bedford, MA 02745
Phone (508) 985-1996

49 State Rd
Ste 105
North Dartmouth, MA 02747
Phone (508) 985-1996

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1871823047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 ASHLEY BLVD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027452419",
            "telephone_number": "508-985-1996",
            "fax_number": "508-985-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 ASHLEY BLVD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027452419",
            "telephone_number": "508-985-1996",
            "fax_number": "508-985-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND LANGUAGE THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "BARCELOS",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-985-1996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MA",
            "license": "4196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.