Madison Speech Methods

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1475 Issued in ME

Legal business name

MADISON SPEECH METHODS

Practice address

29 Bennett St
South Portland, ME 04106-4430

Phone

(207) 730-0850

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa G Madison, M.A., CCC-SLP

Title

Speech-Language Pathologist / Owner

Phone

(207) 730-0850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1124560123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BENNETT ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064430",
            "telephone_number": "207-730-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BENNETT ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064430",
            "telephone_number": "207-730-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON SPEECH METHODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST / OWNER",
        "authorized_official_telephone_number": "207-730-0850",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Elizabeth Mackenzie, MS, LADC
• Rachel Theresa Mackie, RN
• Caitlin Macvane, LCSW
• Ella Macveagh, PT
• Lela Black Madfis
• Jessica Maglione, MD
• Judy Magnuson
• Mago Hope Care LLC
• Elizabeth J Maher, DPT
• Megan Mahoney, M.A. CCC-SLP

• Speech-Language Pathologist in South Portland, ME
• Providers in South Portland, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.