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MITHRA TEN BRINK MS CCC SLP
NPI 1801778444
Speech-Language Pathologist in Beverly, MA

Active since July 24, 2025
100 CUMMINGS CTR STE 135H, BEVERLY, MA 01915(617) 775-5528 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mithra Ten Brink Ms Ccc Slp NPPES

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

MITHRA TEN BRINK MS CCC SLP (NPI 1801778444) is an individual speech-language pathologist provider in Beverly, Massachusetts, licensed in Massachusetts (SLP101404) and active in the NPI registry since July 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1801778444
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMITHRA TEN BRINKCredential: MS CCC SLP
Location Address100 CUMMINGS CTR STE 135HBeverly, MA 01915-6127
Mailing Address100 Cummings Ctr Ste 135hBeverly, MA 01915-6127 · (617) 775-5528
Phone(617) 775-5528
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1801778444 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 · SLP101404
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.
100 CUMMINGS CTR STE 135H, Beverly, MA 01915
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mithra Ten Brink Ms Ccc Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991209553
PECOS Enrollment IDI20250917001250

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.

ELISSA NELSON
Behavior Technician
100 CUMMINGS CTR STE 135H
BEVERLY, MA 01915
Essex County (978) 927-0172
JOHANNA AYLWARD
Speech-Language Pathologist
100 CUMMINGS CTR STE 135H
BEVERLY, MA 01915
Essex County (978) 927-0172
JESSICA DAVIS
Behavior Technician
100 CUMMINGS CTR STE 135H
BEVERLY, MA 01915
Essex County (978) 927-0172
MEGHAN WARD MS SLP
Speech-Language Pathologist
100 CUMMINGS CTR STE 135H
BEVERLY, MA 01915
Essex County (978) 927-0172
MELISSA ACEVEDO
Behavior Technician
100 CUMMINGS CTR STE 135H
BEVERLY, MA 01915
Essex County (978) 927-0172
LISA HANNAFORD
Behavior Analyst
100 CUMMINGS CTR STE 135H
BEVERLY, MA 01915
Essex County (978) 927-0172
NATALIE SPITALNIC
Speech-Language Pathologist
100 CUMMINGS CTR STE 135H
BEVERLY, MA 01915
Essex County (978) 927-0172
XITLHALY MARTINEZ
Behavior Technician
100 CUMMINGS CTR STE 135H
BEVERLY, MA 01915
Essex County (978) 927-0172

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 Mithra Ten Brink's NPI number?

The NPI number for Mithra Ten Brink is 1801778444. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Where is Mithra Ten Brink located?

Mithra Ten Brink practices at 100 Cummings Ctr Ste 135H, Beverly, MA 01915. The listed phone number is (617) 775-5528.

What is Mithra Ten Brink's specialty?

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

Is Mithra Ten Brink enrolled in Medicare?

Yes. Mithra Ten Brink is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mithra Ten Brink was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.