Active NPI
Mary E Schiavoni, MS CCC
- Speech-Language Pathologist
- Saco, ME
National Provider Identifier
1225391501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP957
- Practice address
- 77 Burnham Rd
Saco, ME 04072-9346 - Phone
- (207) 284-9978
- Fax
- (207) 799-2289
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP957 | ME | Primary |
Addresses
Primary practice location
77 Burnham Rd
Saco, ME 04072-9346
Mailing address
77 Burnham Rd
Saco, ME 04072-9346
Phone (207) 284-9978
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1225391501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 BURNHAM RD",
"city": "SACO",
"state": "ME",
"postal_code": "040729346",
"telephone_number": "207-284-9978",
"fax_number": "207-799-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 BURNHAM RD",
"city": "SACO",
"state": "ME",
"postal_code": "040729346",
"telephone_number": "207-284-9978",
"fax_number": "207-799-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIAVONI",
"first_name": "MARY",
"middle_name": "E",
"credential": "MS CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.