SPEAKTEASY (NPI# 1184238917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184238917 |
| Entity Type | Organization |
| Organization Name | SPEAKTEASY |
| Practice Address |
72 Belcher St Randolph MA 02368-3712 |
| Practice Telephone | 7743191195 |
| Mailing Telephone | 7743191195 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | BRITTNEY SLATER (OWNER) |
| Authorized Official Telephone | 7743191195 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| SpeakTeasy | Doing Business As Name - Organization |
| Street Address |
72 BELCHER ST |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770896425 | Tarcila Sutterley | Marriage & Family Therapist | 6 Gristmil Rd., Randolph, NJ 07869 | 2010-07-23 |
| 1447300280 | Ana Isabel Du Bois | Marriage & Family Therapist | 1201 Sussex Turnpike, Suite 104b, Randolph, NJ 07869 | 2007-01-12 |
| 1023497963 | Vednidhi Tiwari Teeruthroy | Marriage & Family Therapist | 400 N Main St, Randolph, MA 02368-4104 | 2015-05-26 |
| 1245515337 | Jason Neely | Marriage & Family Therapist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2011-10-20 |
| 1982929477 | Karen Butler | Marriage & Family Therapist | 11 N Main St, Randolph, VT 05060-1126 | 2010-03-29 |
| 1437201423 | Tammy Austin | Marriage & Family Therapist | 11 S Main St, Randolph, VT 05060-1330 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501802 | Elizabeth Gabriel Tyler Majka | Marriage & Family Therapist | 82 N Farms Rd, Haydenville, MA 01039-9712 | 2020-09-07 |
| 1467090522 | Ecp Family Counseling | Marriage & Family Therapist | 21 Central St Unit 21, Andover, MA 01810-3703 | 2019-12-19 |
| 1720568157 | Sharevision, Inc. | Marriage & Family Therapist | 217 Russell Street, Hadley, MA 01035-9521 | 2018-08-15 |
| 1023595964 | Michael William Baumann | Marriage & Family Therapist | 14 Washington St Apt 2, Danvers, MA 01923-2670 | 2018-07-24 |
| 1780175083 | Krista Lawrence Murchison | Marriage & Family Therapist | 53 Christopher Dr, Westfield, MA 01085-1851 | 2018-05-22 |
| 1962992263 | Andrea Keaveny | Marriage & Family Therapist | 324 Grove St Ste 1, Worcester, MA 01605-3936 | 2018-05-14 |
| 1023529203 | Beacon Counseling Services | Marriage & Family Therapist | 140 Elliott St Ste 5, Beverly, MA 01915-3220 | 2017-10-16 |
| 1215455829 | New Beginnings of Southbridge | Marriage & Family Therapist | 146 Ashland Ave Suite B, Southbridge, MA 01550 | 2017-09-03 |
| 1407376296 | Marilyn Buchan Terry | Marriage & Family Therapist | 29 Pine St Ph P, Southbridge, MA 01550-1823 | 2017-06-22 |
| 1033655535 | Jeffrey Bentley | Marriage & Family Therapist | 61 Woodlawn St, Springfield, MA 01108-3064 | 2017-01-09 |
| Find all providers with the same taxonomy | ||||
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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.