Individual provider Active NPI

Pamela Anne McDonald, SLP/NYS.L

  • Speech-Language Pathologist
  • Plattsburgh, NY
National Provider Identifier
1003091505
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009444 Issued in NY
Practice address
159 Margaret St
Plattsburgh, NY 12901-1874
Phone
(518) 335-3632
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 009444 NY Primary

Addresses

Primary practice location

159 Margaret St
Plattsburgh, NY 12901-1874

Mailing address

5 Kelvin LN
Plattsburgh, NY 12901-1239
Phone (518) 562-8028

Other practice location 1

63 1/2 S Main St
Norwood, NY 13668-3168
Phone (315) 353-6618

Other practice location 2

100 Industrial Parkway
Keeseville, NY 12944
Phone (518) 834-1188

Other practice location 3

6 Commerce Ln
Canton, NY 13617-3738
Phone (315) 379-9571

Other practice location 4

91 Fay Brook Drive
Lake Clear, NY 12945
Phone (518) 891-6565

Other practice location 5

10 St Patrick Pl
Port Henry, NY 12974-1200
Phone (518) 546-7151

Other practice location 6

9 Industrial Blvd
Plattsburgh, NY 12901-1910
Phone (518) 563-0037

Other practice location 7

279 New York Rd
Plattsburgh, NY 12903-4425
Phone (518) 324-8651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712002053 NY Practitioner - Qualified Speech Language Pathologist 9234421215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Essex County Chapter Nysarc IncGroup PAC ID 9133419948, 10 clinicians

Practice addresses (Care Compare)

10 St Patrick PL
Port Henry, NY 12974-1200
Phone (518) 546-7151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Essex County Chapter, Nysarc, Inc. CurrentSince Apr 16, 2016 Accepting new patients

Locations

6 Commerce Ln
Canton, NY 13617
Phone (315) 379-9531

63 S Main St
#1-2
Norwood, NY 13668
Phone (315) 353-6618

9 Industrial Blvd
Plattsburgh, NY 12901
Phone (518) 563-0037

279 New York Rd
Plattsburgh, NY 12903
Phone (518) 324-8180

10 St Patrick Pl
Port Henry, NY 12974
Phone (518) 546-3381

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1003091505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KELVIN LN",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011239",
            "telephone_number": "518-562-8028",
            "fax_number": "518-562-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011874",
            "telephone_number": "518-335-3632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 1/2 S Main St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "NY",
            "postal_code": "136683168",
            "country_code": "US",
            "telephone_number": "315-353-6618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Industrial Parkway",
            "address_purpose": "LOCATION",
            "city": "Keeseville",
            "state": "NY",
            "postal_code": "12944",
            "country_code": "US",
            "telephone_number": "518-834-1188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Commerce Ln",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136173738",
            "country_code": "US",
            "telephone_number": "315-379-9571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Fay Brook Drive",
            "address_purpose": "LOCATION",
            "city": "Lake Clear",
            "state": "NY",
            "postal_code": "12945",
            "country_code": "US",
            "telephone_number": "518-891-6565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 St Patrick Pl",
            "address_purpose": "LOCATION",
            "city": "Port Henry",
            "state": "NY",
            "postal_code": "129741200",
            "country_code": "US",
            "telephone_number": "518-546-7151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011910",
            "country_code": "US",
            "telephone_number": "518-563-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 New York Rd",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129034425",
            "country_code": "US",
            "telephone_number": "518-324-8651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "PAMELA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "SLP/NYS.L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.