Kathryn Stevenson Mahaffey, MSP, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3403 Issued in SC

Practice address

504 Brooks Rd
Mauldin, SC 29662-2747

Phone

(864) 255-7766

NPI assigned

Oct 28, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Therapease LLC

  • Speech-Language Pathologist
  • Destin, FL
  • NPI 1528291051
  NPD (past)

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1649356007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 BROOKS RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622747",
            "telephone_number": "803-804-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 BROOKS RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622747",
            "telephone_number": "864-255-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAFFEY",
        "first_name": "KATHRYN",
        "middle_name": "STEVENSON",
        "name_prefix": "Mrs.",
        "credential": "MSP, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0542",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Live Well Chiropractic PA
• Kristin Marie Long, PHARMD
• Lesley D Looper, PA
• Torrin Charles Lundberg, DPM
• Laura M Maganini, SLP
• Marley Wolfe Counseling Services
• Martin Pediatric Dentistry, LLC
• Brooke Mattison, LPC
• Mauldin Family Pharmacy Inc
• Mauldin Square Dental, LLC

• Speech-Language Pathologist in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.