Active NPI
Haley Zubrick, CCC-SLP
- Speech-Language Pathologist
- Scarborough, ME
National Provider Identifier
1760199376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP3541
- Practice address
- 71 US Route 1 Ste B
Scarborough, ME 04074-7167 - Phone
- (207) 443-3341
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP3541 | ME | Primary |
Addresses
Primary practice location
71 US Route 1 Ste B
Scarborough, ME 04074-7167
Mailing address
5 Carrier Wood Rd Apt 82
Scarborough, ME 04074-7192
Phone (207) 551-0553
Other names 1
- Haley Bouchard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221213000947 | ME | Practitioner - Qualified Speech Language Pathologist | 8426427535 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Tree Society Inc | Current | Accepting new patients |
Locations
149 Front St
Bath, ME 04530
Phone (207) 443-3341
71 US Route 1
Ste B
Scarborough, ME 04074
Phone (207) 443-3341
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1760199376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CARRIER WOOD RD APT 82",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747192",
"telephone_number": "207-551-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 US ROUTE 1 STE B",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747167",
"telephone_number": "207-443-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUBRICK",
"first_name": "HALEY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP3541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALEY",
"last_name": "BOUCHARD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.