Courtney Ann Maughan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

P122973 Issued in NY

Practice address

1400 Old Country Rd Ste 308
Westbury, NY 11590-5119

Phone

(516) 627-3036

NPI assigned

Oct 23, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• North Shore Center for Speech, Language & Swallowing Disorders

  • Speech-Language Pathologist
  • Garden City, NY
  • NPI 1023476090
  NPD (past)
• North Shore Center for Speech, Language & Swallowing Disorders LLP

  • Early Intervention Provider Agency
  • Garden City, NY
  • NPI 1457595472
  NPD (past)

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1427820554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 NOTTINGHAM RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY RD STE 308",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905119",
            "telephone_number": "516-627-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGHAN",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "P122973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Masiello
• Sophie Mason
• Rebecca Mathews
• Donna Riley Matusiak, MA
• Beth Marie Matvya
• Maxim of New York, LLC
• Maximum Potential Occupational Therapy, P.C.
• Patricia Ann Maxwell, LCSW
• Mayer J. Saad MD P.C.
• Kimberly Mayo-Achan, SLP

• Speech-Language Pathologist in Westbury, NY
• Providers in Westbury, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.