Tracy Ann MC Donough, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012482-1 Issued in NY

Practice address

139 Fairbanks Rd
Churchville, NY 14428-9782

Phone

(585) 723-2140

NPI assigned

May 3, 2006

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

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.

• Churchville-Chili Central School District

  • Local Education Agency (LEA)
  • Churchville, NY
  • NPI 1285791020
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1619935087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 RAMBLEWOOD DR",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141022",
            "telephone_number": "585-594-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FAIRBANKS RD",
            "city": "CHURCHVILLE",
            "state": "NY",
            "postal_code": "144289782",
            "telephone_number": "585-723-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC DONOUGH",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012482-01",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012482-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin L Langmaid, FNP-C
• Alexandra J Majors, LMHC, NCC
• Helin Marie Martone, LMSW
• Abena Mason
• Faustin Mbama
• Lorie S McCreedy, RN
• Merits of Care, LLC
• Gabriella Nicole Milgate, MS, OTR/L
• Arthur Robert Minery, PT
• Dayna Moon, OMT

• Speech-Language Pathologist in Churchville, NY
• Providers in Churchville, 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 5, 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.