Organization Active NPI

Speech of Madison, LLC

  • Speech-Language Pathologist
  • Madison, CT
National Provider Identifier
1750851986
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH OF MADISON, LLC
Practice address
21 Boston Post Rd
Madison, CT 06443-2131
Phone
(203) 500-1347
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Sharon Lynn Marczewski, MS, CCC-SLPNPI 1457856585
Title
Owner/Speech-Language Pathologist
Phone
(203) 500-1347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

21 Boston Post Rd
Madison, CT 06443-2131

Mailing address

26 Overlook Farms Rd
Killingworth, CT 06419-1337
Phone (860) 391-5899

Other identifiers 1

IdentifierTypeStateIssuer
00801509MedicaidCT

National Provider Directory

National Provider Directory

Locations

21 Boston Post Rd
Madison, CT 06443
Phone (203) 500-1347

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1750851986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 OVERLOOK FARMS RD",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064191337",
            "telephone_number": "860-391-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BOSTON POST RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432131",
            "telephone_number": "203-500-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH OF MADISON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "MARCZEWSKI",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "203-500-1347",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00801509",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.