STACEY LYNN SULLIVAN MS, CCC-SLP
NPI 1902158207
Speech-Language Pathologist in Boston, MA

Q: What is Stacey Sullivan's NPI number?

The NPI number for Stacey Sullivan is 1902158207. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Q: What is Stacey Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Sullivan was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 10, 2012

275 CAMBRIDGE ST, POB-3, BOSTON, MA 02114(617) 724-2045(617) 724-0771 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Stacey Lynn Sullivan Ms, Ccc-slp NPPES

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

STACEY LYNN SULLIVAN MS, CCC-SLP (NPI 1902158207) is an individual speech-language pathologist provider in Boston, Massachusetts, licensed in Massachusetts (6466) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1902158207

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSTACEY LYNN SULLIVANCredential: MS, CCC-SLP

Location Address275 CAMBRIDGE ST, POB-3Boston, MA 02114-3108

Mailing Address275 Cambridge St, Pob-3Boston, MA 02114-3108

Phone(617) 724-2045

Fax(617) 724-0771

Sole ProprietorNo

Enumeration DateOctober 10, 2012

✔ NPI 1902158207 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 · 6466

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.

275 CAMBRIDGE ST, Boston, MA 02114

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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.

SRAVYA THULASI CHALLA

Orthopaedic Surgery (Orthopaedic Trauma)

275 CAMBRIDGE ST
BOSTON, MA 02114

Suffolk County (617) 724-4133

MASSACHUESETTS GENERAL HOSPITAL

Clinic/Center (Hearing and Speech)

275 CAMBRIDGE ST, 3RD FLOOR
BOSTON, MA 02114

Suffolk County (617) 724-0790

ALEXANDER ING MS CGC

Genetic Counselor, MS

275 CAMBRIDGE ST, SUITE 350
BOSTON, MA 02114

Suffolk County (617) 726-8707

SAMANTHA VILLA MPAS

Physician Assistant

275 CAMBRIDGE ST
BOSTON, MA 02114

Suffolk County (617) 726-2000

TESSA GOLDSMITH MA

Speech-Language Pathologist

275 CAMBRIDGE ST, POB 3
BOSTON, MA 02114

Suffolk County (617) 726-2763

LAURA ZEKANOVIC SLP

Speech-Language Pathologist

275 CAMBRIDGE ST
BOSTON, MA 02114

Suffolk County (617) 724-0791

MRS. ANITA MARY ST.JOHN RN

Registered Nurse

275 CAMBRIDGE ST, POB
BOSTON, MA 02114

Suffolk County (617) 643-2223

DANUZA NUNN MS-CCC-SLP

Speech-Language Pathologist

275 CAMBRIDGE ST, POB 3RD FLOOR
BOSTON, MA 02114

Suffolk County (617) 724-7901

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 Stacey Sullivan's NPI number?

The NPI number for Stacey Sullivan is 1902158207. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Where is Stacey Sullivan located?

Stacey Sullivan practices at 275 Cambridge St Pob-3, Boston, MA 02114. The listed phone number is (617) 724-2045.

What is Stacey Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacey Sullivan was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.