Active NPIOrganization

Creative Connections Pediatrics LLC

Speech-Language Pathologist, in Cambridge, Massachusetts

NPI Number1114663762
Practice location
21 Charles St Apt 507, Cambridge, MA 02141-2372
Fax
—
Last updated
September 13, 2023

Creative Connections Pediatrics LLC is a healthcare organization based in Cambridge, MA. Creative Connections Pediatrics LLC practices in Cambridge, MA. The NPI Number for Creative Connections Pediatrics LLC is 1114663762. The current practice location address for Creative Connections Pediatrics LLC is 21 Charles St Apt 507, Cambridge, MA 02141-2372 and can be reached out via phone at 617-468-8464.

Provider Profile Details

NPI Number
1114663762
Provider Name
Creative Connections Pediatrics LLC
Provider Entity Type
Organization
Address
21 Charles St Apt 507, Cambridge, MA 02141-2372
Phone Number
617-468-8464
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Organization Subpart
No
Authorized Official
Mara Nussbaum, MS, CCC-SLP · Speech Language Pathologist/Owner · 847-220-9807
Provider Enumeration Date
May 6, 2022
Last Update Date
September 13, 2023
Certification Date
September 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Charles St Apt 507
Cambridge, MA 02141-2372
Zip
02141-2372
Phone Number
617-468-8464
Cambridge, MA 02141Get directions →

Provider Business Mailing Address Details

Address
176 Winthrop RD Apt 1
Brookline, MA 02445-4618
City
Brookline
State
MA
Zip
02445-4618

License Information

Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Creative Connections Pediatrics LLC?

The NPI number of Creative Connections Pediatrics LLC is 1114663762. It was assigned on May 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Creative Connections Pediatrics LLC?

Creative Connections Pediatrics LLC is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X).

Where does Creative Connections Pediatrics LLC practice?

The practice location is 21 Charles St Apt 507, Cambridge, MA 02141-2372. The office can be reached at 617-468-8464 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114663762 directly on the NPPES registry website.

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