Individual provider Active NPI

Lynn Marie Odell-Pateman, MA CCC-SLP

  • Speech-Language Pathologist
  • Marlboro, NJ
National Provider Identifier
1023527223
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
15 School Rd E Ste 3
Marlboro, NJ 07746-2061
Phone
(732) 761-8400
Fax
(732) 761-8401
NPI assigned
Sep 20, 2017
Last updated
Sep 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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 Primary

Addresses

Primary practice location

15 School Rd E Ste 3
Marlboro, NJ 07746-2061

Mailing address

15 School Rd E Ste 3
Marlboro, NJ 07746-2061
Phone (732) 761-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Strong at the Core LLC Past Accepting new patients
Lynn's Speech Therapy Center, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1023527223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SCHOOL RD E STE 3",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462061",
            "telephone_number": "732-761-8400",
            "fax_number": "732-761-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SCHOOL RD E STE 3",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462061",
            "telephone_number": "732-761-8400",
            "fax_number": "732-761-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL-PATEMAN",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.