Kathleen Susan Maycock, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020697 Issued in NY

Practice address

106 Memorial Pkwy
Utica, NY 13501-4818

Phone

(315) 792-2210

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1588985998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 SYMONDS PL",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MEMORIAL PKWY",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014818",
            "telephone_number": "315-792-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYCOCK",
        "first_name": "KATHLEEN",
        "middle_name": "SUSAN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max MD PC
• Christopher C Max, M.D.
• Jill M Maxam, SP
• Kaleigh Maxim
• Gabriella Janice May, OTR/L
• John M Mazur, CASAC-T,CRPA,NYCPS-P
• Concetto John Mazza, DDS
• Deborah Lynn Mazza, RPH
• Maria McAdams, LPN
• Deborah C McAloon

• Speech-Language Pathologist in Utica, NY
• Providers in Utica, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.