Individual provider Active NPI

Ashley Malmberg

  • Speech-Language Pathologist
  • Portland, ME
National Provider Identifier
1780349266
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
222 Auburn St Ste 1G
Portland, ME 04103-6001
Phone
(207) 797-8255
NPI assigned
Nov 1, 2021
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

222 Auburn St Ste 1G
Portland, ME 04103-6001

Mailing address

537 Congress St Ste 301
Portland, ME 04101-3490
Phone (518) 937-0717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411001644 ME Practitioner - Qualified Speech Language Pathologist 7517353931 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Oct 20, 2022 Accepting new patients
Hammond Associates Inc Speech-Language Pathologist CurrentSince Mar 30, 2022 Accepting new patients
Rumford Hospital CurrentSince Oct 20, 2022 Accepting new patients
Rumford Hospital CurrentSince Oct 20, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Oct 20, 2022 Accepting new patients
Bridgton Hospital CurrentSince Oct 20, 2022 Accepting new patients
Bridgton Hospital CurrentSince Oct 20, 2022 Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

222 Auburn St
Ste 1G
Portland, ME 04103
Phone (207) 797-8255

1250 Forest Ave
Ste 301
Portland, ME 04103
Phone (207) 797-5753

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1780349266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 CONGRESS ST STE 301",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013490",
            "telephone_number": "518-937-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 AUBURN ST STE 1G",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036001",
            "telephone_number": "207-797-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMBERG",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.