Michael Christopher Gaughran, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7547 Issued in FL

Practice address

64 Joy Haven Dr
Sebastian, FL 32958-6282

Phone

(954) 249-1693

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1013971159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 JOY HAVEN DR",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586282",
            "telephone_number": "954-249-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 JOY HAVEN DR",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586282",
            "telephone_number": "954-249-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGHRAN",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888351300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Funk Consulting & Promotional Services, Inc.
• Lee W Funk, DC, CCEP, AP, DOM
• Benjamin Gaines
• Taryn Noelle Gallo, MD
• Barry Scott Garcia, D.O.
• Ralph Bruce Geiger, M.D.
• Tina Marie Giambanco
• Samantha Mae Gleason, PA-C
• Glen T. Casto DDS, MDS, PA
• Glen T. Casto DDS,MDS,PA

• Speech-Language Pathologist in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.