Active NPI
Maureen Katherine McElligott, M.S., CCC SP
- Speech-Language Pathologist
- Idyllwild, CA
National Provider Identifier
1174707327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 2935
- Practice address
- 54591 Adams
Idyllwild, CA 92549 - Phone
- (909) 953-0157
- NPI assigned
- Dec 24, 2007
- Last updated
- Dec 24, 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 | SP 2935 | CA | Primary |
Addresses
Primary practice location
54591 Adams
Idyllwild, CA 92549
Mailing address
PO Box 1214
54591 Adams
Idyllwild, CA 92549-1214
Phone (909) 953-0157
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 |
|---|---|---|---|
| SP 2935 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198454400000",
"number": "1174707327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1214",
"address_2": "54591 ADAMS",
"city": "IDYLLWILD",
"state": "CA",
"postal_code": "925491214",
"telephone_number": "909-953-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54591 ADAMS",
"city": "IDYLLWILD",
"state": "CA",
"postal_code": "92549",
"telephone_number": "909-953-0157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELLIGOTT",
"first_name": "MAUREEN",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "M.S., CCC SP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 2935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idyllwild, CA
- Kelly Lovejoy, Licensed Clinical Social Worker, P.C. (Kelly Lovejoy LCW, PC)
- Kris' Camp/ Therapy Intensive Programs, Inc (Therapy Intensive Programs, Inc)
- Jennifer J Leong, LMFT
- Kelly Lovejoy, LCSW
- Mareea McClain, RPH
- Mental Health Residential Inc
- Judi G. Milin, DC
- Linsey Michelle Olivier, O.D.
- Julie Orlov, MSW, MAOL
- Ptashinsky Medical (Strawberry Creek Medical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.