Northern Maine Speech Language Pathology Services, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

NORTHERN MAINE SPEECH LANGUAGE PATHOLOGY SERVICES, INC.

Practice address

4 Blake St
Presque Isle, ME 04769-2427

Phone

(207) 764-4498

Fax

(207) 764-1912

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Juanita Briscoe

Title

Vice President

Phone

(207) 764-4498

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Anthony Calvin Briscoe, ED.S.,CCC-SLP

  • Speech-Language Pathologist
  • Presque Isle, ME
  • NPI 1770621401
  NPD (past)
• Tiffany P Johnston, SLP

  • Speech-Language Pathologist
  • Presque Isle, ME
  • NPI 1881880086
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801934534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047690308",
            "telephone_number": "207-764-4498",
            "fax_number": "207-764-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BLAKE ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692427",
            "telephone_number": "207-764-4498",
            "fax_number": "207-764-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MAINE SPEECH LANGUAGE PATHOLOGY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRISCOE",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "207-764-4498",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "E002965",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Maine ENT Associates PA
• Northern Maine Eyewear LLC
• Northern Maine Oral & Facial Surgery PA
• Northern Maine Oral & Facial Surgery, PA
• Northern Maine Orthodontic Assoc.
• Northern Physical Therapy & Rehab Services LLC
• Northern Prosthetics
• Northern Radiological Associates
• Olurotimi Odimayo, DMD
• Ogorchukwu Olele

• Speech-Language Pathologist in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.