Individual provider Active NPI

Maureen Mercier-Keller, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Rochester, NY
National Provider Identifier
1477705960
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012571-1 Issued in NY
Practice address
350 Cooper Rd
Rochester, NY 14617-3009
Phone
(585) 336-3055
Fax
(585) 336-3072
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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 012571-1 NY Primary

Addresses

Primary practice location

350 Cooper Rd
Rochester, NY 14617-3009

Mailing address

350 Cooper Rd
Rochester, NY 14617-3009
Phone (585) 336-3055

Other identifiers 1

IdentifierTypeStateIssuer
30-0213081OtherNYTAX ID

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

State licenses

LicenseStateTypeSpecialty
012571-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Irondequoit Central School District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1477705960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 COOPER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173009",
            "telephone_number": "585-336-3055",
            "fax_number": "585-336-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 COOPER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173009",
            "telephone_number": "585-336-3055",
            "fax_number": "585-336-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCIER-KELLER",
        "first_name": "MAUREEN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012571-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "30-0213081",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.