Active NPI
Maren L Bush, M.S.CCC-SLP
- Speech-Language Pathologist
- Olean, NY
National Provider Identifier
1821163783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 014018-1
- Practice address
- 535 Main St
Olean, NY 14760-1500 - Phone
- (716) 376-2216
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 014018-1 | NY | Primary |
Addresses
Primary practice location
535 Main St
Olean, NY 14760-1500
Mailing address
535 Main St
Olean, NY 14760-1500
Phone (716) 376-2216
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014018 | NY | MD | Clinical Psychologist |
| 014018-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1821163783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 MAIN ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601500",
"telephone_number": "716-376-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 MAIN ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601500",
"telephone_number": "716-376-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "MAREN",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "M.S.CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "014018-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.