Individual provider Active NPI

Michael York, SLP

  • Speech-Language Pathologist
  • Rockland, ME
National Provider Identifier
1013371145
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1721 Issued in ME
Practice address
100 Holmes St
Rockland, ME 04841-2626
Phone
(207) 594-2008
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 SP1721 ME Primary

Addresses

Primary practice location

100 Holmes St
Rockland, ME 04841-2626

Mailing address

82 Rocky Shore Dr
Orrington, ME 04474-3902
Phone (207) 299-2627

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205003055 ME Practitioner - Qualified Speech Language Pathologist 3678922481 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince Mar 23, 2025 Accepting new patients
Magnolia Outpatient Physical Therapy Services, LLC CurrentSince Oct 29, 2023 Accepting new patients
Bridgton Hospital CurrentSince Mar 23, 2025 Accepting new patients

Locations

34 Martin Ln
Belfast, ME 04915
Phone (207) 338-4117

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

42 Bucksport Rd
Ellsworth, ME 04605
Phone (207) 573-1609

11 Ocean St
Jonesport, ME 04649
Phone (207) 497-2363

2500 Dallas Pkwy
Ste 410
Plano, TX 75093
Phone (940) 783-2760

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1013371145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 ROCKY SHORE DR",
            "city": "ORRINGTON",
            "state": "ME",
            "postal_code": "044743902",
            "telephone_number": "207-299-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOLMES ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412626",
            "telephone_number": "207-594-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.