Kathleen Miller, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1651 Issued in ME

Practice address

75 South St Ste 2
Gorham, ME 04038-1737

Phone

(207) 222-1012

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• The Right Spot, LLC

  • Speech-Language Pathologist
  • Portland, ME
  • NPI 1114809779
  NPD Authorized official
• Gorham School Department

  • Developmentally Disabled Services Day Training Agency
  • Gorham, ME
  • NPI 1841402740
  NPD (past)
• Hammond Associates Inc

  • Speech-Language Pathologist
  • Portland, ME
  • NPI 1457387904
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1255440285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SOUTH ST STE 2",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381737",
            "telephone_number": "207-222-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SOUTH ST STE 2",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381737",
            "telephone_number": "207-222-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHLEEN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLU",
            "identifier": "018316",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431938399",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Hospital
• Carrie A Merrill, LCSW
• Denise Merrill, LMSW-CC
• Frederick Douglas Mesloh, DDS
• Karl A Miller, D.O.
• Rachel Rose Miller, DNP, FNP-C
• Carolyn Victoria Milles, RDN, LD
• Mindful Mealtimes
• Danielle Miville, LCSW
• Mohammed Beshir

• Speech-Language Pathologist in Gorham, ME
• Providers in Gorham, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.