Mary Beth Macneill, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

09462 Issued in MD

Practice address

191 S East St
Frederick, MD 21701-5918

Phone

(301) 644-6000

NPI assigned

Sep 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1245844729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6313 TOWNCREST CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217031833",
            "telephone_number": "301-991-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S EAST ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015918",
            "telephone_number": "301-644-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNEILL",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5416281P0002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel Mackereth, CCC-SLP
• Tonya Lynette Mackin, LGPC
• Elizabeth Mackley, M.A. CCC-SLP
• Mallory Noel Maclellan, MS, OTR/L
• Macmurray Behavioral Healthcare LLC.
• Kate Macshane, LCSW-C
• Jehangir Madan, N.P. - B.C.
• Jackson Maddox, RBT
• Jacob David Madock, DC
• William Magdalin, LMSW

• Speech-Language Pathologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.