Mary Angeline McCrory

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010209-1 Issued in NY

Practice address

13430 58TH Ave
Flushing, NY 11355-5227

Phone

(732) 208-2444

NPI assigned

Oct 31, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Paraclete Speech Ave Maria LLC

  • Speech-Language Pathologist
  • Flushing, NY
  • NPI 1619207529
  NPD (past) Authorized official

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1265718605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 58TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555227",
            "telephone_number": "732-208-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 58TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555227",
            "telephone_number": "732-208-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRORY",
        "first_name": "MARY ANGELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010209-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann McCann, M.D.
• Brian Alanzo McCarthy, PA-C
• Donna McClary
• Melissa L McCormick, LCSW
• Kylie Cecilia McCrary, DO
• Shannon Anne McElhone, LMHC
• Diana Ellen McFadden
• Sean McFadden, PT, DPT
• Samuel McGowen, MD
• Tashalee Shanice McGrath-Blagrove, MD

• Speech-Language Pathologist in Flushing, NY
• Providers in Flushing, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.