Individual provider Active NPI

Morganne Gwyn McCarthy, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Manchester, CT
National Provider Identifier
1881010742
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8625 Issued in MA
Practice address
791 Middle Tpke W
Manchester, CT 06040-1819
Phone
(860) 649-5396
NPI assigned
Mar 14, 2014
Last updated
Mar 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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 8625 MA Primary

Addresses

Primary practice location

791 Middle Tpke W
Manchester, CT 06040-1819

Mailing address

23 Broadleaf Dr
South Windsor, CT 06074-3009
Phone (570) 815-4932

Other names 1

  • Morganne Burleigh Gwyn Former 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
8625MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Solutions LLC Speech-Language Pathologist Past Accepting new patients
First Choice Health Centers, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1881010742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BROADLEAF DR",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743009",
            "telephone_number": "570-815-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 MIDDLE TPKE W",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060401819",
            "telephone_number": "860-649-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MORGANNE",
        "middle_name": "GWYN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGANNE",
            "last_name": "GWYN",
            "middle_name": "BURLEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.