Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mary Katherine Johnson , MS, CCC-SLP

Speech-Language Pathologist β€’ Quincy, MA

Active NPI 1285116624 Individual Practitioner Female Practitioner
Practice location in NPPES

2 Moon Island Rd
Quincy, MA 02171

Call 7818649049 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2 Moon Island Rd

Quincy, MA 02171

Telephone 7818649049
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Weymouth, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Quincy and Massachusetts

51 active clinicians are listed under Speech-Language Pathologist with a practice address in Quincy, MA (3,982 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Quincy

0% of these 51 clinicians have the CMS telehealth indicator.

0% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-05-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MA 77343-SP-SL

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Secondary Practice Locations

163 Libbey Industrial Pkwy

Weymouth, MA 021893137

Phone: 7813356663

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated May 06, 2021

Recorded as MARY JOHNSON, MS, CCC-SLP

πŸ‘€
Provider Name / Credentials Updated July 12, 2019

Recorded as MARY MACKENZIE, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2019

Speech-Language Pathologist (license number reported to NPPES: MA 77343-SP-SL)

βœ…
NPI Profile Active September 02, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 02, 2018

Registered at 2 MOON ISLAND RD, QUINCY, MA 02171 (Tel: 7818649049)

πŸ“
Business Mailing Address (Initial Record) September 02, 2018

Registered at 60 PHEASANT HILL RD, SOUTH WEYMOUTH, MA 02190 (Tel: 7818649049)

πŸ‘€
Provider Name / Credentials (Initial Record) September 02, 2018

Recorded as MARY MACKENZIE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2018

Developmental Therapist

🟒
Initial NPI Registration & Enumeration September 02, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1285116624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2018
Last Update: May 06, 2021
Sole Proprietor: No

Mailing Address

60 Pheasant Hill Rd

South Weymouth, MA 02190

Phone: 7818649049

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.