Maggie-Claire Critchlow

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4655 Issued in MA

Practice address

31 Lake St Ste 180
Gardner, MA 01440-3879

Phone

(978) 632-4432

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Criterion

  dba wachusett

  • Physical Therapy Clinic/Center
  • Jefferson, MA
  • NPI 1669898714
  NPD (past)

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1023533668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 N MAIN ST APT 1",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015232328",
            "telephone_number": "603-801-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 LAKE ST STE 180",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403879",
            "telephone_number": "978-632-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITCHLOW",
        "first_name": "MAGGIE-CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "4655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "9655",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14089175",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Cormier, DPT
• Cornerstone Family Medicine, Inc.
• Jane Elizabeth Correa-Segarra, MSN,PMHNP-BC
• Leslie Ann Cosme, RN
• Wendy J Coutu, NP
• Criterion
• Odalys Machin Croteau, MD
• Teresa Croteau, PHARMD
• Crystal Lake Pathology PC
• Sarah Zane Cuenca, LMHC

• Speech-Language Pathologist in Gardner, MA
• Providers in Gardner, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.