Maggie Patnoudes, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005291 Issued in MI

Practice address

656 Lonesome Pine TRL
Saint Joseph, MI 49085-3816

Phone

(269) 930-2077

NPI assigned

Jun 10, 2021

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1285202812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 LONESOME PINE TRL",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853816",
            "telephone_number": "269-930-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 LONESOME PINE TRL",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853816",
            "telephone_number": "269-930-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATNOUDES",
        "first_name": "MAGGIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Paruszkiewicz, NP-BC
• Dharti Rajesh Patel, MBBS
• Marmik Patel, MD
• Sapna R Patel, M.D.
• Pathology Assoc of Southwestern Michigan, PC
• Erin Pattison, DO
• Amanda D Paulk, LMSW
• Shelly Rene Pavese, OTR/L, MHS, CHT
• Keri Pawielski
• Peace of Mind Counseling Center

• Speech-Language Pathologist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.