Fagan Center for Communicaton LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP886 Issued in ME

Legal business name

FAGAN CENTER FOR COMMUNICATON LLC

Doing business as

Elizabeth Fagan

Practice address

985 Forest Ave
Portland, ME 04103-3303

Phone

(207) 797-2351

Fax

(207) 839-2197

NPI assigned

May 7, 2009

Last updated

May 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan McKinley, BS

Title

Billing Manager

Phone

(207) 939-7072

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Fagan Doing business as

Locations

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1174757991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033303",
            "telephone_number": "207-797-2351",
            "fax_number": "207-839-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033303",
            "telephone_number": "207-797-2351",
            "fax_number": "207-839-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAGAN CENTER FOR COMMUNICATON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "207-939-7072",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Fagan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eyes on Rosemont LLC
• Eyes on Rosemont LLC
• Christine Adaora Ezeigwe
• Danielle M Ezekiel, MHRT/C
• Jason Ishmael Ezzy, LMT, AHS
• Elizabeth Anne Fagan, SLPD
• Roger Fagan, AUD
• Kylie Fagnano, MS, RDN, LDN
• Julie Fagone
• Laura J. Faherty, M.D., M.P.H., M.S.H.

• Speech-Language Pathologist in Portland, ME
• Providers in 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 May 7, 2009; 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.