Individual provider Active NPI

Kayla Droogan, MS, CCC-SLP

  • Speech-Language Pathologist
  • Beverly, MA
National Provider Identifier
1184276644
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
P-0768 Issued in NH
Practice address
100 Cummings Ctr Ste 135H
Beverly, MA 01915-6127
Phone
(978) 927-0172
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X P-0768 NH Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 135H
Beverly, MA 01915-6127

Mailing address

100 Cummings Ctr Ste 135H
Beverly, MA 01915-6127

Other names 1

  • Kayla Marcinczyk Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018000333 MA Practitioner - Qualified Speech Language Pathologist 0446626303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speech Therapy Group LLCGroup PAC ID 4183714462, 7 clinicians

Practice addresses (Care Compare)

100 Cummings Ctr
135H
Beverly, MA 01915-6127
Phone (978) 927-0172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P-0768NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Group, LLC. Speech-Language Pathologist CurrentSince Sep 1, 2022 Accepting new patients
The Verbal ABA Clinic, LLC PastSince Sep 1, 2022 Accepting new patients

Locations

100 Cummings Ctr
Ste 135H
Beverly, MA 01915
Phone (978) 927-0172

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1184276644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 135H",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 135H",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156127",
            "telephone_number": "978-927-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROOGAN",
        "first_name": "KAYLA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "P-0768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "MARCINCZYK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.