Scarborough Neurodevelopment Center, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1227 Issued in ME

Legal business name

SCARBOROUGH NEURODEVELOPMENT CENTER, LLC

Practice address

144 US Route 1
Suite 4
Scarborough, ME 04074-7219

Phone

(207) 219-8300

Fax

(207) 219-8301

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Suzanne Voth Sylvester, M.S.,CCC-SLPNPI 1912103292

Title

Speech and Language Pathologist

Phone

(207) 219-8300

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25243/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Voth Sylvester, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Scarborough, ME
  • NPI 1912103292
  Medicare reassignment NPD Authorized official
• Molly Gordon, MS, CCC-SLP

  • Speech-Language Pathologist
  • South Portland, ME
  • NPI 1346723079
  Medicare reassignment NPD
• Alexandra A Busack

  • Speech-Language Pathologist
  • Scarborough, ME
  • NPI 1790232775
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1659701498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 US ROUTE 1",
            "address_2": "SUITE 4",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747219",
            "telephone_number": "207-219-8300",
            "fax_number": "207-219-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 US ROUTE 1",
            "address_2": "SUITE 4",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747219",
            "telephone_number": "207-219-8300",
            "fax_number": "207-219-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARBOROUGH NEURODEVELOPMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "VOTH",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "207-219-8300",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3082",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1227",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "ST2585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas B Sawyer, MD
• Scarborough Dental Association, P.a.
• Scarborough Family Chiropractic, P.C.
• Scarborough Family Physical Therapy PC
• Scarborough Integrative Health, P.a.
• Scarborough Operations, LLC
• Scarborough Operations, LLC
• Scarborough Orthopedic and Sports Physical Therapy
• Scarborough Physical Therapy Associates, P.a.
• Scarborough School Dept.

• Speech-Language Pathologist in Scarborough, ME
• Providers in Scarborough, 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 Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.