Individual provider Active NPI

Cassiah Zimra Sahl, CCC-SLP

  • Speech-Language Pathologist
  • Scarborough, ME
National Provider Identifier
1023659273
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP3613 Issued in ME
Practice address
92 Campus Dr FL 3
Scarborough, ME 04074-7228
Phone
(207) 797-5753
NPI assigned
Sep 30, 2019
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X SP3613 ME Primary

Addresses

Primary practice location

92 Campus Dr FL 3
Scarborough, ME 04074-7228

Mailing address

92 Campus Dr FL 3
Scarborough, ME 04074-7228
Phone (207) 797-5753

Other practice location 1

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315001898 ME Practitioner - Qualified Speech Language Pathologist 0840664710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP3613MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 23, 2023 Accepting new patients
Maine Medical Partners CurrentSince Jan 23, 2023 Accepting new patients
Maine Medical Partners CurrentSince Jan 23, 2023 Accepting new patients
Mainehealth CurrentSince Jan 23, 2023 Accepting new patients
Mainehealth Current Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

175 US Route 1
Scarborough, ME 04074
Phone (207) 396-7700

92 Campus Dr
Fl 3
Scarborough, ME 04074
Phone (207) 797-5753

Organizations & group practices 5

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1023659273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR FL 3",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747228",
            "telephone_number": "207-797-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR FL 3",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747228",
            "telephone_number": "207-797-5753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Highland St",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032463235",
            "country_code": "US",
            "telephone_number": "603-527-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHL",
        "first_name": "CASSIAH",
        "middle_name": "ZIMRA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP3613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.