Wendy Bordoff McCaughrin, PH.D CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.000147 Issued in IL

Practice address

1003 Hillside LN
Mahomet, IL 61853-9702

Phone

(217) 586-4356

NPI assigned

Aug 6, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1720410285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 HILLSIDE LN",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539702",
            "telephone_number": "217-586-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 HILLSIDE LN",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539702",
            "telephone_number": "217-586-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAUGHRIN",
        "first_name": "WENDY",
        "middle_name": "BORDOFF",
        "credential": "PH.D CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.000147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Mathews, APN
• Katherine Maxwell, OTR/L
• MBS Envision LLC
• MBS Envision, Inc
• Mariah L McAnally, LSW
• Marcie Diane McClain, M.A., CCC-SLP
• Casie Danielle McClellan, MSN, APRN, FNP-C
• Jessica L McClellan, LCSW
• Katie McKinney, MR, RD, CSSD, LDN
• Randall A Megeff, MD

• Speech-Language Pathologist in Mahomet, IL
• Providers in Mahomet, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.