NPIMap

Organization Active NPI

University of Maine

  • Speech-Language Pathologist
  • Orono, ME
National Provider Identifier
1295921922
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
UNIVERSITY OF MAINE
Practice address
5724 Dunn Hall
Room 336 University of Maine
Orono, ME 04469-5724
Phone
(207) 581-2006
Fax
(207) 581-2060
NPI assigned
Sep 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Janet Ellen Waldrom, BA
Title
Vice President for Administration a
Phone
(207) 581-1541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5724 Dunn Hall
Room 336 University of Maine
Orono, ME 04469-5724

Mailing address

336 Dunn Hall
Orono, ME 04469-5724
Phone (207) 581-2006

Other identifiers 2

IdentifierTypeStateIssuer
2210881OtherMEAETNA
626492OtherMEHARVARD PILGRIM

Other names 1

  • Conley Speech Language and Hearing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Maine7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5724 Dunn Hall
Rm 336
Orono, ME 04469
Phone (207) 581-2006

336 Dunn Hall
Orono, ME 04469
Phone (207) 581-1865

5724 Dunn Hall
Orono, ME 04469
Phone (207) 581-1561

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1295921922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 DUNN HALL",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044695724",
            "telephone_number": "207-581-2006",
            "fax_number": "207-581-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 DUNN HALL",
            "address_2": "ROOM 336 UNIVERSITY OF MAINE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044695724",
            "telephone_number": "207-581-2006",
            "fax_number": "207-581-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "WALDROM",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR ADMINISTRATION A",
        "authorized_official_telephone_number": "207-581-1541",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2210881",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "626492",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conley Speech Language and Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orono, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.