Caroline J Maynard, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

NH1163 Issued in NH

Practice address

140 Pine Hill Rd
Governor Wentworth Regional School District
Wolfeboro Falls, NH 03896

Phone

(603) 569-5167

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Governor Wentworth Regional School District

  • Local Education Agency (LEA)
  • Wolfeboro Falls, NH
  • NPI 1457481095
  NPD
• Middleton School District

  • Local Education Agency (LEA)
  • Wolfeboro Falls, NH
  • NPI 1841820867
  NPD
• Lakes Region Community Services Council

  • Early Intervention Provider Agency
  • Laconia, NH
  • NPI 1548317852
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1295950525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX #190",
            "address_2": "GOVERNOR WENTWORTH REGIONAL SCHOOL DISTRICT",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "03896",
            "telephone_number": "603-569-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PINE HILL RD",
            "address_2": "GOVERNOR WENTWORTH REGIONAL SCHOOL DISTRICT",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "03896",
            "telephone_number": "603-569-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "CAROLINE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "P-370",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "NH1163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP TEMP. LIC. #",
            "identifier": "P-370",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susannah Lin Halpern, MA, CCC/SLP
• Healingnh
• Lori Schafer Kirwan, O.D.
• Casey Lynn Lalkas, MS, OTRL
• Marguerite E Macarthur, LICSW
• Jason Merrin, PHD
• Middleton School District
• Nancy Sheridan, MSW
• Nancy Sheridan, MSW
• Richard Jordan Neal Jr., DMD

• Speech-Language Pathologist in Wolfeboro Falls, NH
• Providers in Wolfeboro Falls, NH by specialty
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.