NPIMap

Organization Active NPI

Aos 92

  • Speech-Language Pathologist
  • Winslow, ME
National Provider Identifier
1760798953
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1099 Issued in ME
Legal business name
AOS 92
Practice address
20 Dean St
Winslow, ME 04901-6738
Phone
(207) 872-1967
NPI assigned
Aug 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Tanya Thibeau, MA, CCC-SLPNPI 1346540523
Title
Speech-Language Pathologist
Phone
(207) 872-1967

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP1099 ME Primary

Addresses

Primary practice location

20 Dean St
Winslow, ME 04901-6738

Mailing address

20 Dean St
Winslow, ME 04901-6738

National Provider Directory

National Provider Directory

Locations

20 Dean St
Winslow, ME 04901
Phone (207) 859-2313

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": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1760798953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DEAN ST",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049016738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DEAN ST",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049016738",
            "telephone_number": "207-872-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AOS 92",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "THIBEAU",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "207-872-1967",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.