Active NPI
Marybeth B Richards, MS
- Speech-Language Pathologist
- Brewer, ME
National Provider Identifier
1962437194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP956
- Practice address
- 797 Wilson St Ste 2
Brewer, ME 04412-1003 - Phone
- (207) 947-8493
- Fax
- (207) 990-4819
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP956 | ME | Primary |
Addresses
Primary practice location
797 Wilson St Ste 2
Brewer, ME 04412-1003
Mailing address
797 Wilson St Ste 2
Brewer, ME 04412-1003
Phone (207) 947-8493
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033683 | Other | ME | ANTHEM PROVIDER NUMBER |
| 326020099 | Medicaid | ME |
Other names 1
- Mary Beth Binversie
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1962437194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "797 WILSON ST STE 2",
"city": "BREWER",
"state": "ME",
"postal_code": "044121003",
"telephone_number": "207-947-8493",
"fax_number": "207-990-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "797 WILSON ST STE 2",
"city": "BREWER",
"state": "ME",
"postal_code": "044121003",
"telephone_number": "207-947-8493",
"fax_number": "207-990-4819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "MARYBETH",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "033683",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "326020099",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "BINVERSIE",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brewer, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.