Judy Magnuson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP605 Issued in ME

Practice address

130 Wescott Rd
South Portland School Department
South Portland, ME 04106-3420

Phone

(207) 871-0555

Fax

(207) 871-0559

NPI assigned

Aug 4, 2010

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.

• City of South Portland

  • Local Education Agency (LEA)
  • South Portland, ME
  • NPI 1740498401
  NPD (past)
• City of South Portland

  • Developmentally Disabled Services Day Training Agency
  • South Portland, ME
  • NPI 1790994176
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1477867265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WESCOTT RD",
            "address_2": "SOUTH PORTLAND SCHOOL DEPARTMENT",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063420",
            "telephone_number": "207-871-0555",
            "fax_number": "207-871-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WESCOTT RD",
            "address_2": "SOUTH PORTLAND SCHOOL DEPARTMENT",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063420",
            "telephone_number": "207-871-0555",
            "fax_number": "207-871-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "JUDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Macvane, LCSW
• Ella Macveagh, PT
• Lela Black Madfis
• Madison Speech Methods
• Jessica Maglione, MD
• Mago Hope Care LLC
• Elizabeth J Maher, DPT
• Megan Mahoney, M.A. CCC-SLP
• Patrick T Mailloux, DO
• Abigail Mackenzie Mailly

• Speech-Language Pathologist in South Portland, ME
• Providers in South Portland, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.