Max Eldredge Corning II, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22006431A Issued in IN

Practice address

9929 E 126TH St
Fishers, IN 46038-9404

Phone

(317) 436-8961

Fax

(317) 991-1593

NPI assigned

Jul 31, 2017

Last updated

Mar 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavior Analysis Center for Autism

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  • NPI 1891820668

  Speech-Language Pathologist

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1598289696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9929 E 126TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460389404",
            "telephone_number": "317-436-8961",
            "fax_number": "317-991-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9929 E 126TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460389404",
            "telephone_number": "317-436-8961",
            "fax_number": "317-991-1593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2513 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469523241",
            "country_code": "US",
            "telephone_number": "765-662-0490",
            "fax_number": "765-450-6664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11902 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460381308",
            "country_code": "US",
            "telephone_number": "317-288-5232",
            "fax_number": "317-991-1593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30380 County Road 6",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465149514",
            "country_code": "US",
            "telephone_number": "574-343-2001",
            "fax_number": "317-991-1593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6704 Central Blvd",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460777600",
            "country_code": "US",
            "telephone_number": "317-769-4335",
            "fax_number": "317-991-1593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNING",
        "first_name": "MAX",
        "middle_name": "ELDREDGE",
        "name_suffix": "II",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22006431A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "22006431A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Cooper
• Justin Dean Copas, DPT
• Molly Copner, M.S. CCC-SLP
• Rachel Copp
• Core Training Centers, Inc.
• Alyssa J Correthers
• Anne M Corso
• Jennifer Cotner
• Leocadio Cotto III
• Counseling Center at the Crossing, Inc.

• Speech-Language Pathologist in Fishers, IN
• Providers in Fishers, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.