Individual provider Active NPI

Stephanie Denise Nostin, MS, CCC-SLP, BCBA,

  • Speech-Language Pathologist
  • Lynnfield, MA
National Provider Identifier
1912062571
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
217640 Issued in MA
Practice address
375 Broadway SPC 210
Lynnfield, MA 01940
Phone
(774) 804-1285
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-10-7827 MA
Speech-Language Pathologist 235Z00000X 217640 MA Primary

Addresses

Primary practice location

375 Broadway SPC 210
Lynnfield, MA 01940

Mailing address

375 Broadway SPC 210
Lynnfield, MA 01940-2387
Phone (774) 804-1285

Other practice location 1

1 E Main St
Suite 206
Northborough, MA 01532-1662
Phone (508) 523-2027

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
217640MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Mass Speech, Language & Behavior Specialists, Inc Speech-Language Pathologist PastSince Nov 5, 2010 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1912062571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BROADWAY SPC 210",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402387",
            "telephone_number": "774-804-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BROADWAY SPC 210",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "01940",
            "telephone_number": "774-804-1285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Main St",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Northborough",
            "state": "MA",
            "postal_code": "015321662",
            "country_code": "US",
            "telephone_number": "508-523-2027",
            "fax_number": "508-459-1685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOSTIN",
        "first_name": "STEPHANIE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP, BCBA,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-10-7827",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "217640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.