MS. SARAH JOANNE BRODERICK – Speech-Language Pathologist, NPI 1689248577

MS. SARAH JOANNE BRODERICK is a healthcare provider. based in Marblehead, Massachusetts. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. The NPI Number for MS. SARAH JOANNE BRODERICK is 1689248577

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. SARAH JOANNE BRODERICK
NPI
1689248577
Phone
(617) 755-0183
Address
21 CHESTNUT ST
Enumeration Date
17 May 2021
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789270172
Graduation Year
2021 (5 years ago)
PAC ID
3870970460
Group Practice PAC ID
4183714462
Professional Enrollment ID
I20220520000687
Address ID
MA019156127BE100XXCTRX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Digital endpointsOther names

141 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MA

Provider Addresses for MS. SARAH JOANNE BRODERICK

  • 21 CHESTNUT ST

    MARBLEHEAD, MA 019453003

    Phone: (617) 755-0183

    Type: Mailing

  • 6 SOUTHSIDE RD

    DANVERS, MA 019231409

    Phone: (978) 762-4878

    Type: Location

  • 40 SOUTH ST STE 101

    MARBLEHEAD, MA 019453274

    Phone: (781) 254-0836

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220520000687IQualified Speech Language PathologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01945)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183714462View full group profile
NameSpecialtyState
Qualified Speech Language PathologistMA
Qualified Speech Language PathologistPA
-MA
-MA
Qualified Speech Language PathologistMA
-MA
Qualified Speech Language PathologistMA
Qualified Speech Language PathologistMA
-MA

Reviews

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Frequently asked questions

Where can patients find MS. SARAH JOANNE BRODERICK's NPI?
You can confirm MS. SARAH JOANNE BRODERICK with NPI 1689248577; it appears in the national provider directory.
Is MS. SARAH JOANNE BRODERICK's NPI currently valid?
The extract we use shows MS. SARAH JOANNE BRODERICK as active.
Does MS. SARAH JOANNE BRODERICK list a primary specialty?
If you are matching referrals, note Speech-Language Pathologist for MS. SARAH JOANNE BRODERICK. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. SARAH JOANNE BRODERICK?
The page summarizes Marblehead, Massachusetts for MS. SARAH JOANNE BRODERICK; expand the address list for detail.
What if Marblehead, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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