Kimberly McDonough, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

925837 Issued in NJ

Practice address

12 Woodland Ave Unit 22
West Orange, NJ 07052-3660

Phone

(973) 731-8588

NPI assigned

Jul 6, 2022

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1285367250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BALL RD",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461625",
            "telephone_number": "973-896-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WOODLAND AVE UNIT 22",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523660",
            "telephone_number": "973-731-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "925837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Alyssa McCall, OTR/L
• Allison McClain, LCSW
• Kerry Lynn McCole, PT
• Laura McCrone, MA,CCCA
• Dawn M McDonald, PSY.D
• Candice C McEwan, NP
• Caitlyn Marie McGowan, OTR/L
• Katherine McGuire, OTR/L
• Kimberly McGuire, PH.D.
• Carrie McKeen, R.N.

• Speech-Language Pathologist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.