Madeline Jayne Moulton, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP4319 Issued in ME

Practice address

4 Shape Dr
Kennebunk, ME 04043-6760

Phone

(207) 662-5143

Fax

(207) 661-8104

NPI assigned

Mar 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Obstetrics & Gynecology Physician
  • Portland, ME
  • NPI 1679887277
  NPD
• Napa Center Boston, LLC

  • Rehabilitation Clinic/Center
  • Waltham, MA
  • NPI 1811409972

  Speech-Language Pathologist

  NPD
• Mainehealth

  • Clinic/Center
  • Portland, ME
  • NPI 1487346722
  NPD (past)
• Mainehealth

  • Family Medicine Physician
  • Portland, ME
  • NPI 1629761978
  NPD (past)

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1538818596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHAPE DR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436760",
            "telephone_number": "207-662-5143",
            "fax_number": "207-661-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHAPE DR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436760",
            "telephone_number": "207-662-5143",
            "fax_number": "207-661-8104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Bear Hill Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024511025",
            "country_code": "US",
            "telephone_number": "781-790-8479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "92 Campus Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747229",
            "country_code": "US",
            "telephone_number": "207-662-5143",
            "fax_number": "207-661-8104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "MADELINE",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP4319",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "78351-SP-SL",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madeline@napacenter.org",
            "affiliation": "Y",
            "endpointDescription": "company email for secure messaging",
            "affiliationName": "NAPA Center Boston, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 Bear Hill Rd Ste 401",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024511025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Lindsey Moehlmann, LCPC-C
• Melinda S Morgrage, MS, OTR/L
• Linda L Morrison, PHD
• Kristen Waitt Morrisroe, FNP
• Ashley J Moulton, PHARMD
• Patrick Joseph Mulcahy, D.O.
• Murray Orthodontics
• Benjamin M Murray, D.M.D.
• James Metcalfe Murray, DDS
• Meredith A Myers, PNP

• Speech-Language Pathologist in Kennebunk, ME
• Providers in Kennebunk, 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 Nov 1, 2025; 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.