Maureen Gloria McCarthy, MA, CCC/SLP-L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146-003863 Issued in IL

Practice address

500 Coventry LN
Suite 170
Crystal Lake, IL 60014-7579

Phone

(815) 356-2700

Fax

(815) 356-2709

NPI assigned

Sep 10, 2012

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 Arts

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.

• Centegra Primary Care LLC

  • Family Medicine Physician
  • Crystal Lake, IL
  • NPI 1356883599
  NPD (past)

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1285983957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LOCHBROOK LN",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600105436",
            "telephone_number": "847-842-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COVENTRY LN",
            "address_2": "SUITE 170",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147579",
            "telephone_number": "815-356-2700",
            "fax_number": "815-356-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MAUREEN",
        "middle_name": "GLORIA",
        "credential": "MA, CCC/SLP-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-003863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Katherine Maynard
• James E MC Ginn Jr., DC
• Danya Michelle McArthur-Doudou
• Despina McBride, MA, LCPC
• Brian Smith McCallum
• Michelle Lynne McClellan, PSY D
• Caitlyn McClure, DSW, LCSW
• Richard Everett McCoy, D. C.
• Lucas C McCully, DC
• McCutcheon Counseling, PLLC

• Speech-Language Pathologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.