Active NPI
Susan Beth Sanagorski-Phillips, M.S. CCC-SLP
- Speech-Language Pathologist
- Harmony, ME
National Provider Identifier
1073723342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP368
- Practice address
- 29 Bailey Bridge Rd
Harmony, ME 04942-7233 - Phone
- (207) 683-2027
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP368 | ME | Primary |
Addresses
Primary practice location
29 Bailey Bridge Rd
Harmony, ME 04942-7233
Mailing address
29 Bailey Bridge Rd
Harmony, ME 04942-7233
Phone (207) 683-2027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11547334 | Other | CAQH |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP368 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073723342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BAILEY BRIDGE RD",
"city": "HARMONY",
"state": "ME",
"postal_code": "049427233",
"telephone_number": "207-683-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BAILEY BRIDGE RD",
"city": "HARMONY",
"state": "ME",
"postal_code": "049427233",
"telephone_number": "207-683-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANAGORSKI-PHILLIPS",
"first_name": "SUSAN",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP368",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11547334",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Harmony, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.