Evergreen Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

EVERGREEN SPEECH THERAPY LLC

Practice address

2 Bryant Cres Apt 2G
White Plains, NY 10605-2623

Phone

(914) 200-4464

NPI assigned

Apr 2, 2025

Last updated

Apr 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Frances Maguire, M.A. CCC-SLPNPI 1306373303

Title

Speech-Language Pathologist

Phone

(914) 200-4464

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Frances Maguire, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1306373303
  NPD Authorized official

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1922802537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRYANT CRES APT 2G",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052623",
            "telephone_number": "914-200-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BRYANT CRES APT 2G",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052623",
            "telephone_number": "914-200-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "MAGUIRE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "914-200-4464",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in White Plains, NY
• Providers in White Plains, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.