SPEECH AND LANGUAGE DEVELOPMENT CENTER, LLC. (NPI# 1114164647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114164647 |
| Entity Type | Organization |
| Organization Name | SPEECH AND LANGUAGE DEVELOPMENT CENTER, LLC. |
| Practice Address |
80 Congress St Ste 106 Springfield MA 01104-3427 |
| Practice Telephone | 4137320777 |
| Practice Fax Number | 4137320007 |
| Mailing Telephone | 4137320777 |
| Mailing Fax Number | 4137320007 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | MRS. DEBORAH MODE (SLP) |
| Authorized Official Telephone | 4137320777 |
| Authorized Official Credential | MS, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HEALTH NEW ENGLAND | 42703 | 01 |
| MA | BMC HEALTHNET | 1962536862 | 01 |
| MA | BLUE CROSS BLUE SHIELD OF MA | SP0231 | 01 |
| MA | 0714224 | 05 | |
| CT | CONNECTICARE | 732022 | 01 |
| Street Address |
80 CONGRESS ST STE 106 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588145577 | Kimberly A Leclair | Counselor | 80 Congress St Ste 106, Springfield, MA 01104-3427 | 2018-08-27 |
| 1871928762 | Lisa M. Jaffe | Social Worker | 80 Congress St Ste 106, Springfield, MA 01104-3427 | 2013-09-10 |
| 1275849366 | Christine Mordenti | Counselor | 80 Congress St Ste 106, Springfield, MA 01104-3427 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779507 | Rachel Sparks | Occupational Therapist | 4170 Allium Ct, Springfield, OH 45505-1664 | 2020-10-29 |
| 1598382434 | Laurie Mayeaux Simon | Occupational Therapist | 25190 Blood River Rd, Springfield, LA 70462 | 2020-06-26 |
| 1841810512 | Kathleen Dawn Nicholson-schahl | Occupational Therapist | 920 Estill Dr, Springfield, IL 62707-8561 | 2020-04-22 |
| 1700405560 | Zach Zepf | Occupational Therapist | 7222 Arley Pl, Springfield, VA 22153-1516 | 2020-04-13 |
| 1568005486 | Merilea Valenzuela | Occupational Therapist | 1333 1st St, Springfield, OR 97477-3002 | 2019-10-23 |
| 1477100303 | Jamie Barlow | Occupational Therapist | 1420 S Catalina Ave, Springfield, MO 65804-1906 | 2019-08-26 |
| 1609420975 | Danielle Taylor Cassista | Occupational Therapist | 47 Teakwood Rd, Springfield, MA 01128-1056 | 2019-07-25 |
| 1083192165 | Advanced Healthcare Services, LLC | Occupational Therapist | 3900 Pintail Dr Ste A, Springfield, IL 62711-7380 | 2018-08-01 |
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1215439682 | Allyssa Blount | Occupational Therapist | 1545 E Primrose St, Springfield, MO 65804-7927 | 2018-03-01 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.