NPIMap

Organization Active NPI

Northeast Hearing and Speech Center, Inc.

  • Audiologist
  • Portland, ME
National Provider Identifier
1457559452
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
NORTHEAST HEARING AND SPEECH CENTER, INC.
Practice address
75 W Commercial St
Portland, ME 04101-4797
Phone
(207) 874-1065
Fax
(207) 874-1068
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Cameron Garrett
Title
Ceo
Phone
(207) 874-1065

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

75 W Commercial St
Portland, ME 04101-4797

Mailing address

75 W Commercial St
Portland, ME 04101-4797
Phone (207) 874-1065

Other identifiers 4

IdentifierTypeStateIssuer
613386OtherMETUFTS
MN2657OtherMEHARVARD PILGRIM
102390000MedicaidME
1041149OtherMEAETNA HEALTH INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070730000888 ME Part B Supplier - Clinic/Group Practice 1153422472 Receives reassigned benefits from 3 practitioners
Practice locations: Portland, ME

National Provider Directory

National Provider Directory

Locations

75 W Commercial St
Portland, ME 04101
Phone (203) 725-5889

75 W Commercial St
Ste 205
Portland, ME 04101
Phone (207) 874-1065

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1457559452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W COMMERCIAL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014797",
            "telephone_number": "207-874-1065",
            "fax_number": "207-874-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W COMMERCIAL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014797",
            "telephone_number": "207-874-1065",
            "fax_number": "207-874-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST HEARING AND SPEECH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-874-1065"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "613386",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "MN2657",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102390000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH INSURANCE",
            "identifier": "1041149",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.