Maine Mobile Diagnostics Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MAINE MOBILE DIAGNOSTICS INC

Practice address

8 Tremont St
South Portland, ME 04106-6129

Phone

(845) 897-3330

Fax

(845) 897-3753

NPI assigned

Feb 21, 2020

Organization subpart

No

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

Authorized official

Name

Amanda Guida

Title

Office Manager

Phone

(845) 897-3330

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Vincent Webb, CCC SLP

  • Speech-Language Pathologist
  • Hopewell Junction, NY
  • NPI 1841497971
  NPD
• Melissa Cherie Webb, CCC SLP

  • Speech-Language Pathologist
  • Fishkill, NY
  • NPI 1144427279
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1265065833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243503",
            "telephone_number": "845-897-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TREMONT ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066129",
            "telephone_number": "845-897-3330",
            "fax_number": "845-897-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE MOBILE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "GUIDA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-897-3330"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maine Pediatric Dentistry LLC
• Maine Recovery Collective, LLC
• Maine Strong Physical Therapy PA
• Mainehealth

• All providers in South Portland, ME
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.