Individual provider Active NPI

Mandy Ann Roberge, M.S./SLP

  • Speech-Language Pathologist
  • Milan, NH
National Provider Identifier
1407702780
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0989 Issued in NH
Practice address
11 Bridge St
Milan, NH 03588-3531
Phone
(603) 449-3306
NPI assigned
Mar 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0989 NH Primary

Addresses

Primary practice location

11 Bridge St
Milan, NH 03588-3531

Mailing address

19 Jimtown Rd
Gorham, NH 03581-4823
Phone (603) 466-3632

Other practice location 1

99 Main St.
Errol, NH 03579
Phone (603) 482-3341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1407702780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 JIMTOWN RD",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "035814823",
            "telephone_number": "603-466-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BRIDGE ST",
            "city": "MILAN",
            "state": "NH",
            "postal_code": "035883531",
            "telephone_number": "603-449-3306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Main St.",
            "address_purpose": "LOCATION",
            "city": "Errol",
            "state": "NH",
            "postal_code": "03579",
            "country_code": "US",
            "telephone_number": "603-482-3341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERGE",
        "first_name": "MANDY",
        "middle_name": "ANN",
        "credential": "M.S./SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "0989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.