Mary J. Sandage, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2436 Issued in AL

Practice address

1199 Haley Center
Auburn, AL 36849-4013

Phone

(334) 844-9600

NPI assigned

Apr 17, 2007

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

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

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.

• Auburn University

  • Speech-Language Pathologist
  • Auburn University, AL
  • NPI 1235316753
  Medicare reassignment
• Auburn University

  • Health Service Clinic/Center
  • Montgomery, AL
  • NPI 1376836163
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1336364835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SANDERS ST",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368303036",
            "telephone_number": "334-332-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 HALEY CENTER",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368494013",
            "telephone_number": "334-844-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAGE",
        "first_name": "MARY",
        "middle_name": "J.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Samford, DMD
• Shaikh Nayab Samin
• Jennifer Smith Sammons, M.ED., CCC-SLP
• Hannah Marie Samples
• Sams East Inc
• Justin W. Sandal, PT
• Anna Sanders, PA
• Madison Anne Sanders
• Brandon Ray Sandlin, D.M.D.
• Jane Anne Sanford

• Speech-Language Pathologist in Auburn, AL
• Providers in Auburn, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.