Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902158207 Individual Practitioner Female Practitioner

Stacey Lynn Sullivan , MS, CCC-SLP

Speech-Language Pathologist • Boston, MA

Professional Overview & Biography Verified Profile Summary

Stacey Sullivan, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Boston, MA. Practice services are available at 275 CAMBRIDGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

275 Cambridge St
Pob-3

Boston, MA 021143108

Telephone 6177242045
Fax 6177240771
Associated Practice Facility / Clinic

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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA 6466

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.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Tessa Goldsmith , MA

Speech-Language Pathologist

NPI 1104003284

Master of Arts

Danuza Nunn , MS-CCC-SLP

Speech-Language Pathologist

NPI 1164615498

MSCCCSLP

Melanie Krause , MA, CCC-SLP

Speech-Language Pathologist

NPI 1194273557

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Shaina Sawyer

Speech-Language Pathologist

NPI 1215348115
Robin Mirante , MS CCC, SLP

Speech-Language Pathologist

NPI 1326230863

MSCCC, Speech-Language Pathologist

Carmen Vega-Barachowitz , MS, CCC-SLP

Speech-Language Pathologist

NPI 1619164282

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2012

Registered at 275 CAMBRIDGE ST, POB-3, BOSTON, MA 021143108 (Tel: 6177242045)

📍
Updated Business Mailing Address October 10, 2012

Registered at 275 CAMBRIDGE ST, POB-3, BOSTON, MA 021143108

👤
Provider Name / Credentials Updated October 10, 2012

Recorded as STACEY SULLIVAN, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2012

Speech-Language Pathologist (License #6466 in MA)

🟢
Initial NPI Registration & Enumeration October 10, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902158207
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2012
Last Update: October 10, 2012
Sole Proprietor: No

Mailing Address

275 Cambridge St, Pob-3

Boston, MA 021143108

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