MBS Envision, Inc

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

Legal business name

MBS ENVISION, INC

Practice address

2707 County Road 350 E
Mahomet, IL 61853-9734

Phone

(217) 897-6655

Fax

(217) 897-6999

NPI assigned

Dec 10, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Andy Cazzolli

Title

Operations Manager

Phone

(330) 923-3502

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1215230495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 COUNTY ROAD 350 E",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539734",
            "telephone_number": "217-897-6655",
            "fax_number": "217-897-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 COUNTY ROAD 350 E",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539734",
            "telephone_number": "217-897-6655",
            "fax_number": "217-897-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBS ENVISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "CAZZOLLI",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "330-923-3502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linah Kwamboka Mairura, M.D.
• Alexandro Martinez, DMD
• Beth Mathews, APN
• Katherine Maxwell, OTR/L
• MBS Envision LLC
• Mariah L McAnally, LSW
• Wendy Bordoff McCaughrin, PH.D CCC-SLP
• Marcie Diane McClain, M.A., CCC-SLP
• Casie Danielle McClellan, MSN, APRN, FNP-C
• Jessica L McClellan, LCSW

• Speech/Language/Hearing Specialist/Technologist in Mahomet, IL
• Providers in Mahomet, IL by specialty
• Speech/Language/Hearing Specialist/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.