Individual provider Active NPI

Claire Dugan McClintock, M.S., CCC-SLP/L

  • Speech-Language Pathologist
  • Castle Rock, CO
National Provider Identifier
1184852402
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24476077 Issued in CO
Practice address
701 Prairie Hawk Dr
Castle Rock, CO 80109-8001
Phone
(303) 387-0100
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 24476077 CO Primary

Addresses

Primary practice location

701 Prairie Hawk Dr
Castle Rock, CO 80109-8001

Mailing address

3495 W Aster CT
Castle Rock, CO 80109-2800
Phone (219) 331-4858

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
24476077COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
By Your Side, LLC Speech-Language Pathologist Past Accepting new patients
Julie Berg Speech Pathology, P.C. Speech-Language Pathologist Past Accepting new patients
Therapeutic Branches, P.C. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1184852402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 W ASTER CT",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801092800",
            "telephone_number": "219-331-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PRAIRIE HAWK DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098001",
            "telephone_number": "303-387-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "CLAIRE",
        "middle_name": "DUGAN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2024-09-03",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "24476077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.