Individual provider Active NPI

Margaret Rose Bornstein, MS, CCC-SLP

  • Speech-Language Pathologist
  • Monmouth, ME
National Provider Identifier
1811205784
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1158 Issued in ME
Practice address
169 Academy Rd
Monmouth, ME 04259-7037
Phone
(207) 933-4426
Fax
(207) 933-7279
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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 SP1158 ME Primary

Addresses

Primary practice location

169 Academy Rd
Monmouth, ME 04259-7037

Mailing address

PO Box 251
Wayne, ME 04284-0251
Phone (207) 592-3046

Other names 1

  • Ms. Peggy Bornstein Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP1158MEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1811205784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "WAYNE",
            "state": "ME",
            "postal_code": "042840251",
            "telephone_number": "207-592-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ACADEMY RD",
            "city": "MONMOUTH",
            "state": "ME",
            "postal_code": "042597037",
            "telephone_number": "207-933-4426",
            "fax_number": "207-933-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNSTEIN",
        "first_name": "MARGARET",
        "middle_name": "ROSE",
        "name_prefix": "Mr.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "BORNSTEIN",
            "prefix": "MS.",
            "credential": "MS, CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Monmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.