Organization Active NPI

Central Maine Speech and Language

  • Speech-Language Pathologist
  • Albion, ME
National Provider Identifier
1215552195
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CENTRAL MAINE SPEECH AND LANGUAGE
Practice address
931 China Rd
Albion, ME 04910-6705
Phone
(207) 649-7736
NPI assigned
Jun 16, 2020
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Joshua Randazza, SLPNPI 1598172199
Title
Owner, Founder, Clinician
Phone
(207) 649-7736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

931 China Rd
Albion, ME 04910-6705

Mailing address

931 China Rd
Albion, ME 04910-6705
Phone (207) 649-7736

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1215552195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CHINA RD",
            "city": "ALBION",
            "state": "ME",
            "postal_code": "049106705",
            "telephone_number": "207-649-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 CHINA RD",
            "city": "ALBION",
            "state": "ME",
            "postal_code": "049106705",
            "telephone_number": "207-649-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MAINE SPEECH AND LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "RANDAZZA",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER, FOUNDER, CLINICIAN",
        "authorized_official_telephone_number": "207-649-7736",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.