Organization Active NPI

Speak Easy New England LLC

  • Hearing and Speech Clinic/Center
  • Berwick, ME
National Provider Identifier
1396457008
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SPEAK EASY NEW ENGLAND LLC
Practice address
23 Wentworth Rd
Berwick, ME 03901-2831
Phone
(207) 613-6904
Fax
(855) 202-4634
NPI assigned
Dec 14, 2022
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Kristin Macinnis, MS, CCC-SLPNPI 1780939827
Title
Speech-Language Pathologist
Phone
(207) 613-6904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU Primary

Addresses

Primary practice location

23 Wentworth Rd
Berwick, ME 03901-2831

Mailing address

23 Wentworth Rd
Berwick, ME 03901-2831
Phone (207) 613-6904

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristin@speakeasynewengland.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1396457008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WENTWORTH RD",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "039012831",
            "telephone_number": "207-613-6904",
            "fax_number": "855-202-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WENTWORTH RD",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "039012831",
            "telephone_number": "207-613-6904",
            "fax_number": "855-202-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK EASY NEW ENGLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "MACINNIS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "207-613-6904",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin@speakeasynewengland.com",
            "affiliation": "N",
            "address_1": "23 Wentworth Rd",
            "city": "Berwick",
            "state": "ME",
            "country_code": "US",
            "postal_code": "039012831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berwick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.