Mindy Noel McClain-Otto

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SI2833 Issued in FL

Practice address

2050 40TH Ave
Suite 1
Vero Beach, FL 32968-2467

Phone

(772) 567-0061

NPI assigned

Jun 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• All Aboard Therapy of the Treasure Coast, Inc

  • Speech-Language Pathologist
  • Vero Beach, FL
  • NPI 1154507432
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1124477047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 FLORESTA DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055522",
            "telephone_number": "321-508-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 40TH AVE",
            "address_2": "SUITE 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329682467",
            "telephone_number": "772-567-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN-OTTO",
        "first_name": "MINDY",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SI2833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Mark McAndrew, D.M.D.
• Cathy Helen McCallum
• Robert Andrew McCarron, M.D.
• Stacey McCarter
• Ronald Norman McCarty, CRNA,ARNP
• Barak McClain Sr.
• Barbara McClure, ARNP
• Cristina Dupree McClure, D.O.
• Neal Bradley McCollum, MD
• Samantha McCool

• Speech-Language Pathologist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.