Active NPI
Maureen Booth
- Speech-Language Pathologist
- North Charleston, SC
National Provider Identifier
1225503071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5635
- Practice address
- 3107 Meeting Street Rd
North Charleston, SC 29405-7980 - Phone
- (843) 654-7464
- NPI assigned
- Oct 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Speech-Language Pathologist | 235Z00000X | 5635 | CT | Primary |
Addresses
Primary practice location
3107 Meeting Street Rd
North Charleston, SC 29405-7980
Mailing address
1136 Cultivator St
Mount Pleasant, SC 29466-9439
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Speech Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Beautiful Gate Center | Behavior Analyst | Current | Accepting new patients |
| The Talcott Center for Child Development LLC | Behavior Analyst | Past | Accepting new patients |
| Somewhere Over the Spectrum | Behavior Analyst | Past | Accepting new patients |
Locations
3107 Meeting Street Rd
North Charleston, SC 29405
Phone (843) 654-7464
Organizations & group practices 4
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.
-
- Speech-Language Pathologist
- Amston, CT
- NPI 1134715675
-
- Behavior Analyst
- Berlin, CT
- NPI 1144805078
-
- Behavior Analyst
- Farmington, CT
- NPI 1780858621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1225503071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 CULTIVATOR ST",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294669439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 MEETING STREET RD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294057980",
"telephone_number": "843-654-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "MAUREEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "5635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.