Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962436519 Individual Practitioner Male Practitioner

Matthew P Provost , MS, CCC-SLP

Speech-Language Pathologist • Cranston, RI

Professional Overview & Biography Verified Profile Summary

Matthew Provost, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Cranston, RI. Practice services are available at 161 COMSTOCK PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

161 Comstock Pkwy

Cranston, RI 029212002

Telephone 4014630202
Associated Practice Facility / Clinic
🏢 Hmea Dba Techaccess Of Ri Facility NPI 1871009159

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Cranston, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
37 Specialists

Practicing in Cranston, RI (650 Statewide)

Telehealth Adoption Rate
0.0% 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: 2020-07-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License RI SP00739

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
9009994 (RI)
Commercial Insurance / Payer ID Ss Uhp
4600103 (RI)
Commercial Insurance / Payer ID Ss Bchip
411302 (RI)
Commercial Insurance / Payer ID Ss Nhprc
2058 (RI)
Commercial Insurance / Payer ID Ss Bcross
99947 (RI)

Secondary Practice Locations

110 Jefferson Blvd, Suite I

Warwick, RI 028883846

Phone: 4014630202

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1033486386

CAGS, Board Certified Behavior Analyst

Alanna Conley

Speech-Language Pathologist

NPI 1053790733
Francesca Facenda , MS CCC SLP

Speech-Language Pathologist

NPI 1336511914

MSCCCSLP

Julie Romero , COTA, L

Occupational Therapy Assistant

NPI 1760559256

Certified Occupational Therapy Assistant, L

Jennifer Martinous , OTR, L

Occupational Therapist

NPI 1861643843

Occupational Therapist Registered, L

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 30, 2020

Registered at 161 COMSTOCK PKWY, CRANSTON, RI 029212002 (Tel: 4014630202)

📍
Updated Business Mailing Address July 30, 2020

Registered at 161 COMSTOCK PKWY, CRANSTON, RI 029212002 (Tel: 4014630202)

NPI Profile Active July 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2016

Registered at 110 JEFFERSON BLVD, SUITE I, WARWICK, RI 028883846 (Tel: 4014630202)

📍
Updated Business Mailing Address July 25, 2016

Registered at 110 JEFFERSON BLVD, SUITE I, WARWICK, RI 028883846 (Tel: 4014630202)

👤
Provider Name / Credentials Updated July 25, 2016

Recorded as MATTHEW PROVOST, MS,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2016

Speech-Language Pathologist (License #SP00739 in RI)

🟢
Initial NPI Registration & Enumeration July 10, 2006

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: 1962436519
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2006
Last Update: July 30, 2020
Sole Proprietor: No

Mailing Address

161 Comstock Pkwy

Cranston, RI 029212002

Phone: 4014630202

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.