Mary Ellen Baumann, CCC-LSP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005140 Issued in NY

Practice address

346 Violet Street
Massapequa Park, NY 11762

Phone

(516) 799-3903

Fax

(516) 799-3903

NPI assigned

Jun 20, 2011

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

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1275829152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 VIOLET STREET",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "11762",
            "telephone_number": "516-799-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 VIOLET STREET",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "11762",
            "telephone_number": "516-799-3903",
            "fax_number": "516-799-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMANN",
        "first_name": "MARY ELLEN",
        "name_prefix": "Ms.",
        "credential": "CCC-LSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Phillip Barinque, DDS
• Cristie Lynn Barone, RN
• Suzanne Marie Barse, RN
• Christian Robert Barton, DPT
• Melissa Basel
• Behavior Change Success Corp
• Gina Marie Belfiore
• Corinne Beyer, PHYSICIAN ASSISTANT
• Vladislav Beylik, OTR/L
• Carol Blair, LCSWR

• Speech-Language Pathologist in Massapequa Park, NY
• Providers in Massapequa Park, 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 Jun 20, 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.