Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861050411 Individual Practitioner Female Practitioner

Alyssa Catherine Gangaware , MS CCC-SLP

Speech-Language Pathologist • Boston, MA

Professional Overview & Biography Verified Profile Summary

Alyssa Gangaware, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Boston, MA. Practice services are available at 361 NEWBURY ST FL 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

361 Newbury St Fl 5

Boston, MA 021152727

Telephone 6173026244
Associated Practice Facility / Clinic
🏢 Joseph Yeretsian, Pc Facility NPI 1588896914

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
297 Specialists

Practicing in Boston, MA (4034 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA SLP101726

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License RI SP00445-P

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
ES01788 (RI)
Commercial Insurance / Payer ID Nhp Ri
0614 (RI)
Commercial Insurance / Payer ID Blue Cross Ri
SB870 (RI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Jamie Bannon , DPT

Physical Therapist - Pediatrics

NPI 1285426502

Doctor of Physical Therapy

Christina Sexton , OT

Occupational Therapist

NPI 1295626133

Occupational Therapist

NPI 1629677273

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Jennifer Ta Slatkavitz

Speech-Language Pathologist

NPI 1659178630

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 13, 2025

Registered at 361 NEWBURY ST FL 5, BOSTON, MA 021152727 (Tel: 6173026244)

👤
Provider Name / Credentials Updated August 13, 2025

Recorded as ALYSSA GANGAWARE, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2019

Speech-Language Pathologist (License #SP00445-P in RI)

NPI Profile Active May 30, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2019

Registered at 1000 EDDY ST, PROVIDENCE, RI 029054739 (Tel: 4015339100)

📍
Updated Business Mailing Address May 30, 2019

Registered at 1000 EDDY ST, PROVIDENCE, RI 029054739 (Tel: 4015339100)

👤
Provider Name / Credentials Updated May 30, 2019

Recorded as ALYSSA REILLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2019

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration May 30, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Alyssa Gangaware. Be the first to share your experience!

Sign in to leave a review for Alyssa Gangaware

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1861050411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2019
Last Update: August 13, 2025
Sole Proprietor: No

Mailing Address

1000 Eddy St

Providence, RI 029054739

Phone: 4015339100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.