Mary Poulin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1472 Issued in ME

Practice address

51 Woodville Rd
Falmouth, ME 04105-2638

Phone

(207) 781-2079

NPI assigned

Oct 22, 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

Other names 1

• Mary Verrill Former name

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.

• Falmouth School Department

  • Local Education Agency (LEA)
  • Falmouth, ME
  • NPI 1225241912
  NPD (past)
• Falmouth School Department

  • Developmentally Disabled Services Day Training Agency
  • Falmouth, ME
  • NPI 1689882672
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1578863767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WOODVILLE RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052638",
            "telephone_number": "207-781-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WOODVILLE RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052638",
            "telephone_number": "207-781-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "VERRILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Carolina Pitre, OTR/L
• Hailey Pollard, LCPC-C
• Port City Physical Therapy Limited Partnership
• Port City Physical Therapy Limited Partnership
• Charlene Post, P.T.
• Abby B Power, DC
• Randi B F Preis
• Danielle Erin Prout, OTR/L
• Thomas Przybyl, RPH
• Psychological Services, LLC

• Speech-Language Pathologist in Falmouth, ME
• Providers in Falmouth, 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 Oct 22, 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.