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MARY CATHERINE DOCTOR CCC-SLP
NPI 1043973100
Speech-Language Pathologist in Jamaica Plain, MA

Active since October 15, 2021
555 AMORY ST, JAMAICA PLAIN, MA 02130(617) 383-6522 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Catherine Doctor Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CATHERINE DOCTOR CCC-SLP (NPI 1043973100) is an individual speech-language pathologist provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (78236) and active in the NPI registry since October 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1043973100
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY CATHERINE DOCTORCredential: CCC-SLP
Location Address555 AMORY STJamaica Plain, MA 02130-2652
Mailing Address71 Martin St Apt 1Cambridge, MA 02138-1627 · (615) 594-3399
Phone(617) 383-6522
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 15, 2021
NPPES CertifiedOctober 15, 2021
✔ NPI 1043973100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MA · 78236
Definition
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.
555 AMORY ST, Jamaica Plain, MA 02130
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Other Names 1

Other Name (5)Molly Doctor

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Catherine Doctor Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476039413
PECOS Enrollment IDI20260109001575

Medicare Billing Reassignment

Medicare enrollment records show Mary Doctor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tufts Medical Center, Inc.
3.6 mi
General Acute Care Hospital
800 WASHINGTON ST
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 74 clinicians in this Medicare group
NPI 1730132515 (617) 636-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY COTTON
Developmental Therapist
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522
GRACE MARIA TRUDEAU MS, OTR/L
Occupational Therapist
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522
MEGHAN SULLIVAN COLLOPY
Developmental Therapist
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522
REMA TOKATLI
Speech-Language Pathologist
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522
KERRIANN JACKSON
Developmental Therapist
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522
MSWATI HANKS
Counselor (Mental Health)
555 AMORY ST, SUITE 3
BOSTON, MA 02130
Suffolk County (617) 522-0900
MYA EDITH JARA
Social Worker (Clinical)
555 AMORY ST
JAMAICA PLAIN, MA 02130
Suffolk County (860) 938-3655
KATHLEEN ROSE
Social Worker (Clinical)
555 AMORY ST, SUITE 5
JAMAICA PLAIN, MA 02130
Suffolk County (617) 383-6522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Doctor's NPI number?

The NPI number for Mary Doctor is 1043973100. It was assigned to this individual provider in the NPPES registry on October 15, 2021. The provider is also known as Molly Doctor.

Where is Mary Doctor located?

Mary Doctor practices at 555 Amory St, Jamaica Plain, MA 02130. The listed phone number is (617) 383-6522.

What is Mary Doctor's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mary Doctor enrolled in Medicare?

Yes. Mary Doctor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Doctor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Doctor reassigns Medicare benefits to Tufts Medical Center, Inc. (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Doctor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Doctor was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.