NPIMap

Organization Active NPI

South East Center for Swallowing & Communication

  • Speech-Language Pathologist
  • New Bedford, MA
National Provider Identifier
1922102912
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SOUTH EAST CENTER FOR SWALLOWING & COMMUNICATION
Practice address
92 Grape St
Unit 1
New Bedford, MA 02740-2143
Phone
(508) 991-2332
Fax
(508) 991-8437
NPI assigned
Sep 11, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ms. Kathleen Lynne Fitzgerald, MS CCC SLPNPI 1871713297
Title
President
Phone
(508) 991-2332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X MA
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

92 Grape St
Unit 1
New Bedford, MA 02740-2143

Mailing address

92 Grape St
Unit 1
New Bedford, MA 02740-2143
Phone (508) 991-2332

Other identifiers 5

IdentifierTypeStateIssuer
SG0002OtherMABLUE CROSS BLUE SHIELD OF MASSACHUSETTS
691582OtherMATUFTS HEALTH PLAN
AA14788OtherMAHARVARD PILGRIM
OG0068OtherMABLUE CROSS BLUE SHIELD OF MASSACHUSETTS
9737570MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1922102912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 GRAPE ST",
            "address_2": "UNIT 1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402143",
            "telephone_number": "508-991-2332",
            "fax_number": "508-991-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 GRAPE ST",
            "address_2": "UNIT 1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402143",
            "telephone_number": "508-991-2332",
            "fax_number": "508-991-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST CENTER FOR SWALLOWING & COMMUNICATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-991-2332",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS",
            "identifier": "SG0002",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "691582",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA14788",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS",
            "identifier": "OG0068",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9737570",
            "state": "MA"
        }
    ],
    "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 Jun 21, 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.