Jennifer Patricia McMahon, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

023194 Issued in NY

Practice address

143 Hibbard Rd
Horseheads, NY 14845

Phone

(607) 739-5601

NPI assigned

Aug 29, 2013

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

Other names 1

• Miss Jennifer Patricia McMillen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Schuyler Steuben Chemung Tioga Allegany Boces

  • Local Education Agency (LEA)
  • Painted Post, NY
  • NPI 1821766403
  NPD (past)

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1477987147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 GREYSTONE DRIVE",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148451307",
            "telephone_number": "607-857-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 HIBBARD RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "14845",
            "telephone_number": "607-739-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "JENNIFER",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCMILLEN",
            "middle_name": "PATRICIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol Ann Maye, RN/BSN
• Edward Joseph McDonald Jr., DPT
• Mary Hessler McEnerney, PHARMD
• Christine Ann McEnroe
• Courtney McLaughlin
• Deanna McManus, CCC-SLP
• Mrugendra I Mehta, MD
• Erica L Mendelsohn, R.P.A.-C
• Philip J. Menges, D.D.S
• Samantha E Meriwether

• All providers in Horseheads, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.