NPIMap

Organization Active NPI

University of Connecticut

Doing business as University of Connecticut Speech & Hearing Clinic

  • Audiologist
  • Storrs, CT
National Provider Identifier
1114011830
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
UNIVERSITY OF CONNECTICUT
Doing business as
University of Connecticut Speech & Hearing Clinic
Practice address
2 Alethia Dr # U-1085
Storrs, CT 06269-1085
Phone
(860) 486-2629
NPI assigned
Oct 3, 2006
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF CONNECTICUTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Ms. Nancy McMahon, AU.D
Title
Clinic Director
Phone
(860) 486-2629

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU
Audiologist 231H00000X CT Primary
Assistive Technology Supplier Audiologist 231HA2500X NU
Speech/Language/Hearing Specialist/Technologist 235500000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

2 Alethia Dr # U-1085
Storrs, CT 06269-1085

Mailing address

2 Alethia Dr # U-1085
Storrs, CT 06269-1085
Phone (860) 486-2629

Other names 1

  • University of Connecticut Speech & Hearing Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220706000857 CT Part B Supplier - Clinic/Group Practice 2062507817 Receives reassigned benefits from 12 practitioners
Practice locations: Storrs, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
University of Connecticut-Division of Public Safety8 organizations share this tax ID, including this one
Part of
University of Connecticut-Division of Public Safety

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Alethia Dr
Unit 1085
Storrs, CT 06269
Phone (860) 486-2629

9 Walters Ave
Unit 5084
Storrs, CT 06269

14 Dog Ln
#U4249
Storrs Mansfield, CT 06269
Phone (860) 486-8615

2 Alethia Dr
#U1085
Storrs Mansfield, CT 06269
Phone (860) 486-2629

850 Bolton Rd
Unit 1085
Storrs Mansfield, CT 06269
Phone (860) 486-2817

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1114011830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALETHIA DR # U-1085",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062691085",
            "telephone_number": "860-486-2629",
            "fax_number": "860-486-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALETHIA DR # U-1085",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062691085",
            "telephone_number": "860-486-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CONNECTICUT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CONNECTICUT",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "860-486-2629",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Connecticut Speech & Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Connecticut Speech & Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Storrs, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.