Individual provider Active NPI

Madeline Rose Macmillan, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Media, PA
National Provider Identifier
1861235533
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL018365 Issued in PA
Practice address
77 W Baltimore Pike Ste 100B
Media, PA 19063-5639
Phone
(610) 572-5520
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 SL018365 PA Primary

Addresses

Primary practice location

77 W Baltimore Pike Ste 100B
Media, PA 19063-5639

Mailing address

77 W Baltimore Pike Ste 100B
Media, PA 19063-5639

Other practice location 1

1 Raymond Dr Unit B
Havertown, PA 19083-3100
Phone (610) 572-5520

Other practice location 2

1646 W Chester Pike Ste 4
West Chester, PA 19382-7979
Phone (610) 572-5520

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
SL018365PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Related Services LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1861235533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W BALTIMORE PIKE STE 100B",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W BALTIMORE PIKE STE 100B",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635639",
            "telephone_number": "610-572-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Raymond Dr Unit B",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190833100",
            "country_code": "US",
            "telephone_number": "610-572-5520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1646 W Chester Pike Ste 4",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193827979",
            "country_code": "US",
            "telephone_number": "610-572-5520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "MADELINE",
        "middle_name": "ROSE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL018365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.