Individual provider Active NPI

Suzanne Voth Sylvester, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Scarborough, ME
National Provider Identifier
1912103292
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1227 Issued in ME
Practice address
144 US Route 1
Suite 4
Scarborough, ME 04074-7219
Phone
(207) 219-8300
Fax
(207) 219-8301
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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 SP1227 ME Primary

Addresses

Primary practice location

144 US Route 1
Suite 4
Scarborough, ME 04074-7219

Mailing address

144 US Route 1
Suite 4
Scarborough, ME 04074-7219
Phone (207) 219-8300

Other identifiers 2

IdentifierTypeStateIssuer
23409000MedicaidME
E100281935OtherMEMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000793 ME Practitioner - Qualified Speech Language Pathologist 6305988007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

144 US Route 1
Suite 4
Scarborough, ME 04074-7219
Phone (207) 219-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP1227MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scarborough Neurodevelopment Center, LLC Speech-Language Pathologist CurrentSince Feb 25, 2016 Accepting new patients
Goodwill Industries of Northern New England Past Accepting new patients

Locations

144 US Route 1
Ste 4
Scarborough, ME 04074
Phone (207) 219-8300

500 Southborough Dr
Ste 301
South Portland, ME 04106

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25243/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1912103292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 US ROUTE 1",
            "address_2": "SUITE 4",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747219",
            "telephone_number": "207-219-8300",
            "fax_number": "207-219-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 US ROUTE 1",
            "address_2": "SUITE 4",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747219",
            "telephone_number": "207-219-8300",
            "fax_number": "207-219-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "SUZANNE",
        "middle_name": "VOTH",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23409000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "E100281935",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.