Jean Marie McCarthy, MS/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3381 Issued in CT

Practice address

850 Bolton Rd
Unit 1085
Storrs, CT 06269-9020

Phone

(860) 486-2817

Fax

(860) 486-5422

NPI assigned

Jan 5, 2012

Last updated

Oct 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• University of Connecticut

  dba University of Connecticut Speech & Hearing Clinic

  • Audiologist
  • Storrs, CT
  • NPI 1114011830

  Speech-Language Pathologist

  Medicare reassignment NPD
• University of Connecticut Health Center

  • Clinical Medical Laboratory
  • Farmington, CT
  • NPI 1427031293
  NPD (past)
• University of Connecticut Student Health and Wellness

  • Student Health Clinic/Center
  • Storrs Mansfield, CT
  • NPI 1629097043
  NPD (past)

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1942570031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801515",
            "telephone_number": "860-342-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BOLTON RD",
            "address_2": "UNIT 1085",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062699020",
            "telephone_number": "860-486-2817",
            "fax_number": "860-486-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "3381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Mazerolle, PHD, ATC
• Nia J McBride
• Amy McKenzie, MS, ATC, PES
• Ann Carney McMahon, AUD
• Meg Bishop, LCSW, LLC
• Kevin Mertens, PHD
• Mmi Script Hub & Medical Supplies

• Speech-Language Pathologist in Storrs, CT
• Providers in Storrs, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.