JILL M MAXAM (NPI# 1235371139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235371139 |
| Entity Type | Individual |
| Full Name | JILL M MAXAM |
| Credential | SP |
| Practice Address |
2150 Bleecker St Utica NY 13501-1738 |
| Practice Telephone | 3157984867 |
| Practice Fax Number | 3157984944 |
| Mailing Telephone | 3157984867 |
| Mailing Fax Number | 3157984944 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 013922 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
2150 BLEECKER ST |
| City | UTICA |
| State | NY |
| Zip Code | 13501-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679562623 | Florin Olteanu | Internal Medicine | 2150 Bleecker St, Utica, NY 13501-1738 | 2005-10-20 |
| 1396362141 | Olivia Thomson | Dietitian, Registered | 2150 Bleecker St, Utica, NY 13501-1738 | 2020-06-28 |
| 1912400904 | Wendy L Lilley | Respiratory Therapist, Registered | 2150 Bleecker St, Utica, NY 13501-1738 | 2018-03-15 |
| 1558703264 | Valerie Yager | Nurse Practitioner | 2150 Bleecker St, Utica, NY 13501-1738 | 2013-07-23 |
| 1093957912 | Warren J Mundrick | Occupational Therapist | 2150 Bleecker St, Utica, NY 13501-1738 | 2009-03-25 |
| 1366684284 | Kimberly A Page | Physical Therapist | 2150 Bleecker St, Utica, NY 13501-1738 | 2009-03-25 |
| 1346482247 | Colleen K Reynolds | Physical Therapist | 2150 Bleecker St, Utica, NY 13501-1738 | 2009-03-24 |
| 1063654960 | Joseph A Debonza | Physical Therapist | 2150 Bleecker St, Utica, NY 13501-1738 | 2009-03-24 |
| 1750575668 | Allison Robyn Ryan | Occupational Therapist | 2150 Bleecker St, Utica, NY 13501-1738 | 2007-09-04 |
| 1124228770 | Faxton-st. Lukes Healthcare | Clinic/Center | 2150 Bleecker St, Utica, NY 13501-1738 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700349248 | Maria Kuehl | Student in an Organized Health Care Education/Training Program | 120 Hobart Street, Residency Program, Utica, NY 13501 | 2019-04-11 |
| 1497237622 | Bobs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 430 Bleecker St, Utica, NY 13501 | 2018-09-04 |
| 1528565421 | Michele Della Gala | Social Worker | 1427 Genesee Street, Utica, NY 13501 | 2018-04-09 |
| 1295274884 | Sheila Denita Boyd | Licensed Practical Nurse | 505 Mary Street, Utica, NY 13501 | 2017-02-16 |
| 1770034993 | Curry Mcmahon | Massage Therapist | 2707 Genesee St, Utica, NY 13501 | 2016-10-24 |
| 1689123614 | Angelica Pascone Martin | Physician Assistant | 2215 Genesee St., Utica, NY 13501 | 2016-10-03 |
| 1942673942 | Krista Lee Klopotek | Registered Nurse | 1151 Albany Street, Albany Elementary School, Utica, NY 13501 | 2015-11-12 |
| 1841618089 | Katherine Macaulay Lucey | Social Worker | 293 Genesee Street, The Neighborhood Center, Inc. Human Resources, Utica, NY 13501 | 2014-04-04 |
| 1578809067 | Laurie A Baker | Social Worker | 2307 Genesee St, Utica, NY 13501 | 2013-01-02 |
| 1104170505 | Amanda Knoeller | Social Worker | 683 Mary Street, Utica, NY 13501 | 2012-11-07 |
| Find all providers in zip 13501 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328186 | Kelly Fehlhafer | Speech-Language Pathologist | 1301 Centennial Ave, Utica, NE 68456-6168 | 2016-10-31 |
| 1619252319 | Olga Gulchuk | Speech-Language Pathologist | 108 Woodruff Ter, Utica, NY 13502-1134 | 2011-10-13 |
| 1497049886 | Sara H Porter | Speech-Language Pathologist | 2208 Graham Ave, Utica, NY 13502-3622 | 2011-06-03 |
| 1306130794 | Sarah Dudajek-bush | Speech-Language Pathologist | 118 Business Park Dr, Utica, NY 13502-6302 | 2011-06-03 |
| 1508174632 | Karen M. Martin | Speech-Language Pathologist | 943 Armory Dr, Utica, NY 13501-5363 | 2010-09-23 |
| 1437467156 | Linda A Daley | Speech-Language Pathologist | 6 Geer Ave, Utica, NY 13501-5911 | 2010-09-15 |
| 1003123209 | Danyse D Collins | Speech-Language Pathologist | 106 Memorial Parkway, Utica City School District, Utica, NY 13501-5512 | 2010-09-09 |
| 1447566229 | Kathleen Lynne Furman | Speech-Language Pathologist | 2630 Remington Rd, Hugh R. Jones Elementary School, Utica, NY 13501-6313 | 2010-08-31 |
| 1023320546 | Donna Marie Osano | Speech-Language Pathologist | 136 Marnie St, Utica, NY 13502-1006 | 2010-07-13 |
| 1811208358 | Wendy Woodward | Speech-Language Pathologist | 1601 Armory Drive, Utica, NY 13501 | 2010-06-30 |
| Find all providers in UTICA | ||||
Please comment or provide details below to improve the information on JILL M MAXAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.