Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215267554 Individual Practitioner Female Practitioner

Mary J Sullivan , SLP

Speech-Language Pathologist • Fairfield, ME

Professional Overview & Biography Verified Profile Summary

Mary Sullivan, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fairfield, ME. Practice services are available at 95 SKOWHEGAN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

95 Skowhegan Rd
Maine Center For Integrated Rehab

Fairfield, ME 049373303

Telephone 2074531330
Associated Practice Facility / Clinic
🏢 Thi Of Maine Facility NPI 1932351152

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fairfield, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Fairfield, ME (1187 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ME SP1885

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License MA SP7845SL

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
433215399 (ME)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Sara Rivera , PTA

Physical Therapy Assistant

NPI 1073851077

Physical Therapist Assistant

Jessy Garrett , PTA

Physical Therapy Assistant

NPI 1134849110

Physical Therapist Assistant

Scott Mayo , CTRS

Recreation Therapist

NPI 1154404713
NPI 1174316715

Physical Therapist, Doctor of Physical Therapy

Lucinda Rasmussen , CCC-SLP

Speech-Language Pathologist

NPI 1235426180

Speech-Language Pathologist (Certificate of Clinical Competence)

Barbara Mansir , RN

Registered Nurse - Rehabilitation

NPI 1255414827

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2010

Registered at 95 SKOWHEGAN RD, MAINE CENTER FOR INTEGRATED REHAB, FAIRFIELD, ME 049373303 (Tel: 2074531330)

📍
Updated Business Mailing Address January 08, 2010

Registered at 95 SKOWHEGAN RD, MAINE CENTER FOR INTEGRATED REHAB, FAIRFIELD, ME 049373303 (Tel: 2074531330)

👤
Provider Name / Credentials Updated January 08, 2010

Recorded as MARY SULLIVAN, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2010

Speech-Language Pathologist (License #SP1885 in ME)

🟢
Initial NPI Registration & Enumeration January 08, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215267554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2010
Last Update: January 08, 2010
Sole Proprietor: No

Mailing Address

95 Skowhegan Rd, Maine Center For Integrated Rehab

Fairfield, ME 049373303

Phone: 2074531330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.